DAVID NICHOLSON C.R.N.A.
NPI 1912985755
Nurse Anesthetist, Certified Registered in Ketchum, ID
About David Nicholson C.r.n.a. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DAVID NICHOLSON C.R.N.A. (NPI 1912985755) is an individual nurse anesthetist, certified registered in Ketchum, Idaho, licensed in Idaho (59928) and active in the NPI registry since January 2006. He is affiliated with St Luke's Wood River Medical Center and is a graduate of Other (1997).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
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
David Nicholson C.r.n.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.
Medicare Billing Reassignments
9Medicare enrollment records show David Nicholson reassigns Medicare billing to 9 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Ketchum, ID 83340
- Reassigned Medicare billing, Idaho enrollment
- 74 clinicians in this Medicare group
Mountain Home, ID 83647
- Reassigned Medicare billing, Idaho enrollment
- 1,312 clinicians in this Medicare group
Boise, ID 83712
- Reassigned Medicare billing, Idaho enrollment
- 233 clinicians in this Medicare group
Boise, ID 83706
- Reassigned Medicare billing, Idaho enrollment
- 71 clinicians in this Medicare group
Fall River Mills, CA 96028
- Reassigned Medicare billing, California enrollment
- 53 clinicians in this Medicare group
Grass Valley, CA 95945
- Reassigned Medicare billing, California enrollment
- 833 clinicians in this Medicare group
Redding, CA 96001
- Reassigned Medicare billing, California enrollment
- 32 clinicians in this Medicare group
Los Alamos, NM 87544
- Reassigned Medicare billing, New Mexico enrollment
- 8 clinicians in this Medicare group
Albuquerque, NM 87106
- Reassigned Medicare billing, New Mexico enrollment
- 151 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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
St Luke's Wood River Medical Center
Critical Access Hospitals · Ketchum, IDPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 83340 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Reported Quality Measures
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.
KETCHUM, ID 83340
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 David Nicholson's NPI number?
The NPI number for David Nicholson is 1912985755. It was assigned to this individual provider in the NPPES registry on January 3, 2006.
Where is David Nicholson located?
David Nicholson practices at 100 Hospital Dr, Ketchum, ID 83340. The listed phone number is (208) 727-8800.
What is David Nicholson's specialty?
The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.
Is David Nicholson enrolled in Medicare?
Yes. David Nicholson 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 David Nicholson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), David Nicholson reassigns Medicare benefits to 9 organizations: St Lukes Clinic - Wood River LLC (Ketchum, ID), St Lukes Clinic-Treasure Valley LLC (Mountain Home, ID), Anesthesia Associates Of Boise, P.A. (Boise, ID), Boise Anesthesia, P A (Boise, ID), Mayers Memorial Hospital District (Fall River Mills, CA) and 4 more organizations, 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 David Nicholson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does David Nicholson accept?
Health plans from Select Health list David Nicholson 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.
Is David Nicholson affiliated with any hospitals?
According to CMS data, David Nicholson is affiliated with St Luke's Wood River Medical Center.
When was this NPI record last updated?
The NPPES record for David Nicholson was last updated on March 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.
# David Nicholson, C.R.N.A. · NPI 1912985755
Nurse Anesthetist, Certified Registered physician in Ketchum, Idaho. Individual provider, active in the CMS NPPES registry since January 3, 2006.
## Identity
- **NPI:** 1912985755 (Entity type: Individual)
- **Enumerated:** January 3, 2006
- **Primary specialty:** Nurse Anesthetist, Certified Registered · taxonomy 367500000X
- **State license:** 59928 (Idaho)
- **Sole proprietor:** No
## Practice location
- **Address:** 100 HOSPITAL DR, Ketchum, ID 83340
- **Phone:** (208) 727-8800 · **Fax:** (208) 727-8124
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Bills Medicare through:** 9 organizations under Medicare reassignment (form CMS-855R): St Lukes Clinic - Wood River LLC (NPI 1972891604, Ketchum, ID); St Lukes Clinic-Treasure Valley LLC (NPI 1417297821, Mountain Home, ID); Anesthesia Associates Of Boise, P.A. (NPI 1033147467, Boise, ID); Boise Anesthesia, P A (NPI 1487602298, Boise, ID); Mayers Memorial Hospital District (NPI 1912125667, Fall River Mills, CA); and 4 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 1997
## Record status
- **NPPES last updated:** March 15, 2026
- **Other identifiers:** Medicaid 18100244 (NM)
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Source: [NPI Profile](https://npiprofile.com/npi/1912985755) · Data from the CMS NPPES public registry.