LIEM NGUYEN NICKELSON A.A.
NPI 1760764138
Anesthesiologist Assistant in Saint Louis, MO

Active since September 12, 2011Accepts Medicare Assignment
3635 VISTA AVE, SAINT LOUIS, MO 63110(314) 577-8000 Get Directions Write a Review

NPPES record last updated: February 21, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Liem Nguyen Nickelson A.a. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LIEM NGUYEN NICKELSON A.A. (NPI 1760764138) is an individual anesthesiologist assistant in Saint Louis, Missouri, licensed in Missouri (2011030647) and active in the NPI registry since September 2011. She is affiliated with Ssm Health Saint Louis University Hospital and is a graduate of Other (2011).

NPPES Registry Identity

NPI1760764138
Entity TypeIndividualFemale
Primary Taxonomy367H00000X
Provider Legal NameLIEM NGUYEN NICKELSONCredential: A.A.
Location Address3635 VISTA AVESaint Louis, MO 63110-2539
Mailing Address3635 Vista AveSaint Louis, MO 63110-2539 · (813) 493-0402
Sole ProprietorYes
Medical School CMSOtherGraduated 2011
Enumeration DateSeptember 12, 2011
Last NPPES UpdateFebruary 21, 2017
NPI 1760764138 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyAnesthesiologist AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367H00000X
License Licensed in MO · 2011030647
Definition
An individual certified by the state to perform anesthesia services under the direct supervision of an anesthesiologist. Anesthesiologist Assistants are required to have a bachelor's degree with a premed curriculum prior to entering a two-year anesthesiology assistant program, which is focused upon the delivery and maintenance of anesthesia care as well as advanced patient monitoring techniques. An Anesthesiologist Assistant must work as a member of the anesthesia care team under the direction of a qualified Anesthesiologist.
3635 VISTA AVE, Saint Louis, MO 63110

Other Names 1

Former Name (1)Liem Nguyen Fister

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

Liem Nguyen Nickelson A.a. 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.

PECOS PAC ID8426225467
PECOS Enrollment IDI20120117000105

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Anesthesia for lens surgery 00142
Anesthesia for lens surgery involves administering medication to numb the eye area, ensuring you feel no pain during the procedure. This can be a local anesthetic (numbing only the eye area) or general (where you're asleep). It helps make the surgery comfortable and stress-free.
24 services20 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Ssm Health Saint Louis University Hospital

Acute Care Hospitals · Saint Louis, MO
1/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number260105
Location3635 Vista AveSaint Louis, MO 63110 · St. Louis City County
Emergency services

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine
3635 VISTA AVE
SAINT LOUIS, MO 63110
Internal Medicine
3635 VISTA AVE
SAINT LOUIS, MO 63110
Internal Medicine
3635 VISTA AVE, 7TH FLOOR DESLOGE TOWER
SAINT LOUIS, MO 63110
Registered Nurse (Emergency)
3635 VISTA AVE
SAINT LOUIS, MO 63110
Pharmacist (Oncology)
3635 VISTA AVE
SAINT LOUIS, MO 63110
General Acute Care Hospital
3635 VISTA AVE
SAINT LOUIS, MO 63110
Pathology (Anatomic Pathology & Clinical Pathology)
3635 VISTA AVE, SAINT LOUIS UNIVERSITY PATHOLOGY SERVICES
SAINT LOUIS, MO 63110
Radiology (Diagnostic Radiology)
3635 VISTA AVE
SAINT LOUIS, MO 63110

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 Liem Nickelson's NPI number?

The NPI number for Liem Nickelson is 1760764138. It was assigned to this individual provider in the NPPES registry on September 12, 2011. The provider is also known as Liem Nguyen Fister.

Where is Liem Nickelson located?

Liem Nickelson practices at 3635 Vista Ave, Saint Louis, MO 63110. The listed phone number is (314) 577-8000.

What is Liem Nickelson's specialty?

The primary specialty registered for this NPI is Anesthesiologist Assistant with taxonomy code 367H00000X.

Is Liem Nickelson enrolled in Medicare?

Yes. Liem Nickelson 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 Liem Nickelson affiliated with any hospitals?

According to CMS data, Liem Nickelson is affiliated with Ssm Health Saint Louis University Hospital.

When was this NPI record last updated?

The NPPES record for Liem Nickelson was last updated on February 21, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.