DOUGLAS W NICOLARSEN
NPI 1740212935
Anesthesiology in Boise, ID
About Douglas W Nicolarsen NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DOUGLAS W NICOLARSEN (NPI 1740212935) is an individual anesthesiology provider in Boise, Idaho, licensed in Idaho (M5967) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with St Luke's Regional Medical Center, and is a graduate of University Of Colorado School Of Medicine, Denver (1986).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Douglas W Nicolarsen is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
St Luke's Regional Medical Center
Acute Care Hospitals · Boise, IDOther Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Douglas Nicolarsen's NPI number?
The NPI number for Douglas Nicolarsen is 1740212935. It was assigned to this individual provider in the NPPES registry on July 7, 2006.
Where is Douglas Nicolarsen located?
Douglas Nicolarsen practices at 111 W State St, Boise, ID 83702. The listed phone number is (208) 336-0281.
What is Douglas Nicolarsen's specialty?
The primary specialty registered for this NPI is Anesthesiology with taxonomy code 207L00000X.
Is Douglas Nicolarsen enrolled in Medicare?
Yes. Douglas Nicolarsen is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Is Douglas Nicolarsen affiliated with any hospitals?
According to CMS data, Douglas Nicolarsen is affiliated with St Luke's Regional Medical Center.
When was this NPI record last updated?
The NPPES record for Douglas Nicolarsen was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Douglas W Nicolarsen · NPI 1740212935
Anesthesiology physician in Boise, Idaho. Individual provider, active in the CMS NPPES registry since July 7, 2006.
## Identity
- **NPI:** 1740212935 (Entity type: Individual)
- **Enumerated:** July 7, 2006
- **Primary specialty:** Anesthesiology · taxonomy 207L00000X
- **State license:** M5967 (Idaho)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 111 W STATE ST, Boise, ID 83702-6127
- **Phone:** (208) 336-0281
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** University Of Colorado School Of Medicine, Denver, class of 1986
## Record status
- **NPPES last updated:** July 8, 2007
- **Other identifiers:** Medicare UPIN F22878
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Source: [NPI Profile](https://npiprofile.com/npi/1740212935) · Data from the CMS NPPES public registry.