MS. NICOLE MCCOLLEY CRNA
NPI 1790019990
Nurse Anesthetist, Certified Registered in Saint Paul, MN

Active since September 22, 2009
100/100
CMS Quality Rating
640 JACKSON ST, SAINT PAUL, MN 55101(651) 254-3456 Get Directions Write a Review

NPPES record last updated: January 5, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jan 5, 2022, Mar 17, 2018, Oct 25, 2017 (3 updates tracked since 2017).

About Ms. Nicole Mccolley Crna NPPES

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

MS. NICOLE MCCOLLEY CRNA (NPI 1790019990) is an individual nurse anesthetist, certified registered in Saint Paul, Minnesota, licensed in Michigan (4704271330) and active in the NPI registry since September 2009. She is affiliated with Lakeland Hospital, St Joseph, maintains a secondary practice location in Kalamazoo, and is a graduate of Other (2010).

NPPES Registry Identity

NPI1790019990
Entity TypeIndividualFemale
Primary Taxonomy367500000X
Provider Legal NameMS. NICOLE MCCOLLEYCredential: CRNA
Location Address640 JACKSON STSaint Paul, MN 55101-2502
Mailing Address900 Peeler StKalamazoo, MI 49008-2300 · (269) 345-8618 · Fax (269) 345-1508
Sole ProprietorNo
Medical School CMSOtherGraduated 2010
Enumeration DateSeptember 22, 2009
Last NPPES UpdateJanuary 5, 20223 updates tracked since enumeration
NPPES CertifiedJanuary 5, 2022
NPI 1790019990 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
License Licensed in MI · 4704271330
Definition

(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.

640 JACKSON ST, Saint Paul, MN 55101

Secondary Practice Location 1

Location 1900 Peeler StKalamazoo, MI 49008-2300 · Phone (269) 345-8618 ext. 1223 · Fax (269) 345-1508

Other Identifiers 2

Other4704271330MI · Mi State License
Other1790MN · Minnesota License

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Ms. Nicole Mccolley Crna is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1557499332
PECOS Enrollment IDI20100514000893

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Anesthesia for other procedure on large bowel using an endoscope 00811
Anesthesia for an endoscopic procedure on the large bowel ensures comfort and relaxation during the procedure. You'll be given medication to make you drowsy or asleep, eliminating any discomfort. The medication can be administered through a vein or inhaled.
28 services28 patients
Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope 00731
This procedure involves the use of an endoscope, a flexible tube with a light and camera, to examine your esophagus, stomach, or upper small bowel. Anesthesia ensures you are comfortable and pain-free during the procedure.
12 services11 patients
Anesthesia for exam of colon using an endoscope 00812
Anesthesia for a colon examination with an endoscope is a method used to ensure comfort during the procedure. It involves administering medication to help you relax or sleep, thus reducing discomfort as the endoscope, a thin, flexible tube, is navigated through your colon.
12 services12 patients

Hospital Affiliations CMS Care Compare

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

Lakeland Hospital, St Joseph

Acute Care Hospitals · St Joseph, MI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230021
Location1234 Napier AvenueSt Joseph, MI 49085 · Berrien County
Emergency services Birthing friendly

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality87.54
Promoting Interoperability100
Improvement Activities40

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.

Physician Assistant
640 JACKSON ST
SAINT PAUL, MN 55101
Orthopaedic Surgery
640 JACKSON ST
SAINT PAUL, MN 55101
Otolaryngology
640 JACKSON ST, MC 11503J
ST PAUL, MN 55101
Family Medicine
640 JACKSON ST
SAINT PAUL, MN 55101
Internal Medicine
640 JACKSON ST, MC21110Q
SAINT PAUL, MN 55101
Internal Medicine
640 JACKSON ST
ST PAUL, MN 55101
Internal Medicine
640 JACKSON ST, MC21110Q
SAINT PAUL, MN 55101
Internal Medicine
640 JACKSON ST, MC21110Q
SAINT PAUL, MN 55101

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1790019990, enumerated as an "individual" on September 22, 2009.

The provider is located at 640 JACKSON ST SAINT PAUL, MN 55101 and the phone number is (651) 254-3456.

Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

The provider might be accepting Accepts: Blue Cross Blue Shield of Michigan Mutual. Please consult your insurance carrier or call the provider to verify.

Nicole Mccolley is affiliated with: LAKELAND HOSPITAL, ST JOSEPH.