JENNIFER NICKERSON CRNA
NPI 1891794772
Nurse Anesthetist, Certified Registered in Philadelphia, PA

Active since July 21, 2005Accepts Medicare Assignment
3401 N BROAD ST, PHILADELPHIA, PA 19140(215) 707-3326(215) 707-8028 Get Directions Write a Review

NPPES record last updated: February 18, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Jennifer Nickerson Crna NPPES

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

JENNIFER NICKERSON CRNA (NPI 1891794772) is an individual nurse anesthetist, certified registered in Philadelphia, Pennsylvania, licensed in Ohio (272040) and active in the NPI registry since July 2005. She is a graduate of University Of Cincinnati College Of Medicine (2001).

NPPES Registry Identity

NPI1891794772
Entity TypeIndividualFemale
Primary Taxonomy367500000X
Provider Legal NameJENNIFER NICKERSONCredential: CRNA
Location Address3401 N BROAD STPhiladelphia, PA 19140-5103
Mailing Address11490 Springfield PikeCincinnati, OH 45246-3524 · (513) 672-3309 · Fax (513) 672-3323
Fax(215) 707-8028
Sole ProprietorNo
Medical School CMSUniversity Of Cincinnati College Of MedicineGraduated 2001
Enumeration DateJuly 21, 2005
Last NPPES UpdateFebruary 18, 2025
NPPES CertifiedFebruary 18, 2025
✔ NPI 1891794772 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 OH · 272040
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.
3401 N BROAD ST, Philadelphia, PA 19140

Other Identifiers 2

Medicaid200461980IN
Medicaid2340005OH

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jennifer Nickerson Crna 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 ID8729224027
PECOS Enrollment IDI20130410000605

Medicare Billing Reassignments

6

Medicare enrollment records show Jennifer Nickerson reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Anesthesiology
3000 HOSPITAL DR
Batavia, OH 45103
  • Reassigned Medicare billing, Ohio enrollment
  • Medicare enrollment name: Southwest Ohio Anesthesia Consultants LLC
  • 830 clinicians in this Medicare group
Nurse Anesthetist, Certified Registered
9275 MONTGOMERY RD
Cincinnati, OH 45242
  • Reassigned Medicare billing, Ohio enrollment
  • 18 clinicians in this Medicare group
Nurse Anesthetist, Certified Registered
4746 MONTGOMERY RD, SUITE 202
Cincinnati, OH 45212
  • Reassigned Medicare billing, Ohio enrollment
  • 57 clinicians in this Medicare group
Nurse Anesthetist, Certified Registered
2925 VERNON PL, STE 101
Cincinnati, OH 45219
  • Reassigned Medicare billing, Ohio enrollment
  • 114 clinicians in this Medicare group
Anesthesiology
2139 AUBURN AVE
Cincinnati, OH 45219
  • Reassigned Medicare billing, Ohio enrollment
  • 317 clinicians in this Medicare group
Anesthesiology
4340 CLYO RD STE 200
Dayton, OH 45459
  • Reassigned Medicare billing, Ohio enrollment
  • 45 clinicians in this Medicare group

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 3

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.
84 services75 patients
Anesthesia for placement or revision of blood flow shunt 01844
Anesthesia for blood flow shunt placement or revision ensures comfort during the procedure. It involves medication to numb or induce sleep, preventing pain or discomfort. It's safe, monitored by professionals, and tailored to individual needs.
19 services16 patients
Anesthesia for x-ray exam of arteries and veins using contrast 01916
Anesthesia is given to ensure comfort during an X-ray exam of your arteries and veins using contrast. This process involves injecting a dye into your blood vessels to make them visible on X-rays. The anesthesia helps to minimize any discomfort or anxiety.
11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19140 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$137.17 typical visit price
range $59.88 – $180.99
Typical copayment $34.29 (range $14.97 – $45.24)
Most-billed visit code 99204
Established Patient
$74.47 typical visit price
range $19.30 – $147.29
Typical copayment $18.61 (range $4.82 – $36.82)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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
3401 N BROAD ST
PHILADELPHIA, PA 19140
Surgery
3401 N BROAD ST
PHILADELPHIA, PA 19140
Internal Medicine
3401 N BROAD ST
PHILADELPHIA, PA 19140
Anesthesiology
3401 N BROAD ST
PHILADELPHIA, PA 19140
Surgery
3401 N BROAD ST
PHILADELPHIA, PA 19140
Radiology (Diagnostic Radiology)
3401 N BROAD ST
PHILADELPHIA, PA 19140
Radiology (Radiation Oncology)
3401 N BROAD ST
PHILADELPHIA, PA 19140
Internal Medicine (Pulmonary Disease)
3401 N BROAD ST, 812 PARKINSON PAVILION
PHILADELPHIA, PA 19140

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 Jennifer Nickerson's NPI number?

The NPI number for Jennifer Nickerson is 1891794772. It was assigned to this individual provider in the NPPES registry on July 21, 2005.

Where is Jennifer Nickerson located?

Jennifer Nickerson practices at 3401 N Broad St, Philadelphia, PA 19140. The listed phone number is (215) 707-3326.

What is Jennifer Nickerson's specialty?

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

Is Jennifer Nickerson enrolled in Medicare?

Yes. Jennifer Nickerson 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.

Which organizations bill Medicare for Jennifer Nickerson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jennifer Nickerson reassigns Medicare benefits to 6 organizations: Anesthesia & Intensive Care Consultants,inc. (Batavia, OH), Amsurg Cincinnati Anesthesia LLC (Cincinnati, OH), Cgi Anesthesia Associates LLC (Cincinnati, OH), Ogi Anesthesia, LLC (Cincinnati, OH), Anesthesia Associates Of Cincinnati, Inc (Cincinnati, OH) and 1 more organization, listed in the Medicare section above. 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 Jennifer Nickerson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jennifer Nickerson accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, CareSource and Paramount list Jennifer Nickerson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jennifer Nickerson was last updated on February 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months 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.