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SUSAN MARY NICKERSON
NPI 1811163884
Nurse Anesthetist, Certified Registered in Corte Madera, CA

Active since April 30, 2008
239 KOCH RD, CORTE MADERA, CA 94925(310) 294-4441 Get Directions Write a Review

NPPES record last updated: December 23, 2008. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Susan Mary Nickerson NPPES

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

SUSAN MARY NICKERSON (NPI 1811163884) is an individual nurse anesthetist, certified registered in Corte Madera, California, licensed in California (NA3728) and active in the NPI registry since April 2008.

NPPES Registry Identity

NPI1811163884
Entity TypeIndividualFemale
Primary Taxonomy367500000X
Provider Legal NameSUSAN MARY NICKERSON
Location Address239 KOCH RDCorte Madera, CA 94925
Mailing Address239 Koch RdCorte Madera, CA 94925-1265 · (415) 892-8115
Phone(310) 294-4441
Sole ProprietorYes
Enumeration DateApril 30, 2008
Last NPPES UpdateDecember 23, 2008
✔ NPI 1811163884 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 CA · NA3728
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.
239 KOCH RD, Corte Madera, CA 94925
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Susan Mary Nickerson is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignments

5

Medicare enrollment records show Susan Nickerson reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Amsurg Marin Anesthesia LP
2.8 mi
Anesthesiology
1100 SOUTH ELISCO DRIVE, SUITE 3
Greenbrae, CA 94904
  • Reassigned Medicare billing, California enrollment
  • 37 clinicians in this Medicare group
NPI 1972929925 (415) 464-0606
Ucsf Medical Group Business Services
11 mi
Internal Medicine
400 PARNASSUS AVE
San Francisco, CA 94122
  • Reassigned Medicare billing, California enrollment
  • 5,544 clinicians in this Medicare group
NPI 1477624104 (415) 353-2808
University Of California San Francisco
11 mi
Internal Medicine
400 PARNASSUS AVE
San Francisco, CA 94143
  • Reassigned Medicare billing, California enrollment
  • 5,645 clinicians in this Medicare group
NPI 1164512851 (415) 476-1000
University Anesthesia Medical Group
11 mi
Anesthesiology
505 PARNASSUS AVE
San Francisco, CA 94143
  • Reassigned Medicare billing, California enrollment
  • 723 clinicians in this Medicare group
NPI 1528137296 (415) 476-1000
Gastroenterology Associates Endoscopy Center. LLC
184 mi
Anesthesiology
1825 SONOMA ST
Redding, CA 96001
  • Reassigned Medicare billing, California enrollment
  • 8 clinicians in this Medicare group
NPI 1255658928 (530) 246-7000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 4

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 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.
102 services101 patients
Anesthesia for procedure on small and large bowel using an endoscope 00813
Anesthesia for an endoscopic procedure on the small and large bowel ensures comfort and relaxation during the procedure. It involves administering medicine to help you sleep or feel drowsy. This allows the doctor to examine your bowels without causing you discomfort or pain.
43 services43 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.
34 services34 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.
25 services25 patients

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 Susan Nickerson's NPI number?

The NPI number for Susan Nickerson is 1811163884. It was assigned to this individual provider in the NPPES registry on April 30, 2008.

Where is Susan Nickerson located?

Susan Nickerson practices at 239 Koch Rd, Corte Madera, CA 94925. The listed phone number is (310) 294-4441.

What is Susan Nickerson's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Is Susan Nickerson enrolled in Medicare?

Yes. Susan Nickerson is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Susan Nickerson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Susan Nickerson reassigns Medicare benefits to 5 organizations: Amsurg Marin Anesthesia LP (Greenbrae, CA), Ucsf Medical Group Business Services (San Francisco, CA), University Of California San Francisco (San Francisco, CA), University Anesthesia Medical Group (San Francisco, CA) and Gastroenterology Associates Endoscopy Center. LLC (Redding, CA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Susan Nickerson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Susan Nickerson was last updated on December 23, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.