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MR. ROSS ALAN NICKOLEY CRNA
NPI 1992748263
Nurse Anesthetist, Certified Registered in Ennis, TX

Active since June 14, 2006PECOS Enrolled
2201 WEST LAMPASASAS ST, ENNIS REGIONAL MEDICAL CENTER, ENNIS, TX 75119(972) 875-0900(469) 256-2459 Get Directions Write a Review

NPPES record last updated: February 10, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Mr. Ross Alan Nickoley Crna NPPES

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

MR. ROSS ALAN NICKOLEY CRNA (NPI 1992748263) is an individual nurse anesthetist, certified registered in Ennis, Texas, licensed in Tennessee (17715) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Trinity Rock Island, and maintains a secondary practice location in Germantown.

NPPES Registry Identity

NPI1992748263
Entity TypeIndividualMale
Primary Taxonomy367500000X
Provider Legal NameMR. ROSS ALAN NICKOLEYCredential: CRNA
Location Address2201 WEST LAMPASASAS ST, ENNIS REGIONAL MEDICAL CENTEREnnis, TX 75119
Mailing Address12492 Audrain Road 9931Mexico, MO 65265-7231 · (573) 590-4046
Phone(972) 875-0900
Fax(469) 256-2459
Sole ProprietorNo
Medical School CMSOtherGraduated 1999
Enumeration DateJune 14, 2006
Last NPPES UpdateFebruary 10, 2026
NPPES CertifiedFebruary 10, 2026
✔ NPI 1992748263 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
Licenses✔ Licensed in TN · 17715✔ Licensed in IL · 209026286
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.
2201 WEST LAMPASASAS ST, Ennis, TX 75119
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Secondary Practice Location 1

Location 18000 Wolf River Blvd Ste 200Germantown, TN 38138-1755 · Phone (901) 747-3630 · Fax (901) 747-4149

Other Identifiers 1

MedicaidQ073460TN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Ross Alan Nickoley Crna is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID648255257
PECOS Enrollment IDI20220503001777, I20230910000025, I20260214000781
Eligible to Order & Refer✔ Part B Labs & Imaging– Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

11

Medicare enrollment records show Ross Nickoley reassigns Medicare billing to 11 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Gastroenterology Center Of The Midsouth PLLC
447 mi
Gastroenterology
8000 WOLF RIVER BLVD STE 200
Germantown, TN 38138
  • Reassigned Medicare billing, Tennessee enrollment
  • 154 clinicians in this Medicare group
NPI 1417932492 (901) 747-3630
Ams Northern Indiana LLC
581 mi
Anesthesiology
28 N PALAFOX ST
Pensacola, FL 32502
  • Reassigned Medicare billing, Indiana enrollment
  • 57 clinicians in this Medicare group
NPI 1427619840 (941) 360-1566
Sweet Dreams Anesthesia Inc
690 mi
Nurse Anesthetist, Certified Registered
2108 E 3RD ST
Chattanooga, TN 37404
  • Reassigned Medicare billing, Tennessee enrollment
  • 144 clinicians in this Medicare group
NPI 1508133497 (423) 267-0466
Clinical Colleagues LLC
695 mi
Anesthesiology
695 N KELLOGG ST
Galesburg, IL 61401
  • Reassigned Medicare billing, Illinois enrollment
  • 142 clinicians in this Medicare group
NPI 1316399967 (800) 494-3964
Watson Anesthesia Group PLLC
714 mi
Nurse Anesthetist, Certified Registered
9400 RHEA COUNTY HWY
Dayton, TN 37321
  • Reassigned Medicare billing, Tennessee enrollment
  • 15 clinicians in this Medicare group
NPI 1548513278 (423) 775-1121
Iceland Anesthesia Management, LLC
722 mi
Anesthesiology
1606 N 7TH ST
Terre Haute, IN 47804
  • Reassigned Medicare billing, Indiana enrollment
  • 166 clinicians in this Medicare group
NPI 1912578667 (833) 352-0096
Greenland Anesthesia Management, LLC
791 mi
Anesthesiology
821 N COBB ST
Milledgeville, GA 31061
  • Reassigned Medicare billing, Georgia enrollment
  • 41 clinicians in this Medicare group
NPI 1740885383 (478) 776-4000
Sda Consultants PLLC
879 mi
Anesthesiology
500 ARCADE AVE STE 100
Elkhart, IN 46514
  • Reassigned Medicare billing, Tennessee enrollment
  • 79 clinicians in this Medicare group
NPI 1336605500 (574) 522-9505
Great Lakes Anesthesia, P.C.
881 mi
Anesthesiology
700 E BEARDSLEY AVE STE 209
Elkhart, IN 46514
  • Reassigned Medicare billing, Indiana enrollment
  • Medicare enrollment name: Great Lakes Anesthesia PC
  • 60 clinicians in this Medicare group
NPI 1720039977 (574) 522-9922
Antigua Anesthesia Management, LLC
1,028 mi
Anesthesiology
WESTERN ARIZONA REGIONAL MEDCIAL CENTER, 2735 SILVER CREEK ROAD
Bullhead City, AZ 86442
  • Reassigned Medicare billing, Arizona enrollment
  • 87 clinicians in this Medicare group
NPI 1912502055 (928) 763-2273

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.
35 services35 patients
Anesthesia for procedure to assess heart electrical activity 00537
Anesthesia for a procedure to assess heart electrical activity helps ensure comfort and relaxation. It involves administering medication that either numbs a specific area or makes you sleep temporarily. This allows doctors to safely examine your heart's electrical signals without causing discomfort.
21 services20 patients
Anesthesia for x-ray on arteries 01924
Anesthesia for x-ray on arteries is a procedure to ensure comfort during imaging tests. A medicine is given to make you relaxed or sleep, minimizing any discomfort. It's typically used for invasive procedures to examine arteries for blockages or other issues.
12 services12 patients

Hospital Affiliations CMS Care Compare

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

Trinity Rock Island

Acute Care Hospitals · Rock Island, IL
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140280
Location2701 17th StRock Island, IL 61201 · Rock Island County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75119 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
$126.40 typical visit price
range $54.84 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$68.55 typical visit price
range $17.52 – $136.11
Typical copayment $17.13 (range $4.38 – $34.02)
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.

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 Ross Nickoley's NPI number?

The NPI number for Ross Nickoley is 1992748263. It was assigned to this individual provider in the NPPES registry on June 14, 2006.

Where is Ross Nickoley located?

Ross Nickoley practices at 2201 West Lampasasas St Ennis Regional Medical Center, Ennis, TX 75119. The listed phone number is (972) 875-0900.

What is Ross Nickoley's specialty?

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

Is Ross Nickoley enrolled in Medicare?

Yes. Ross Nickoley is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Ross Nickoley's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ross Nickoley reassigns Medicare benefits to 11 organizations: Gastroenterology Center Of The Midsouth PLLC (Germantown, TN), Ams Northern Indiana LLC (Pensacola, FL), Sweet Dreams Anesthesia Inc (Chattanooga, TN), Clinical Colleagues LLC (Galesburg, IL), Watson Anesthesia Group PLLC (Dayton, TN) and 6 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 Ross Nickoley's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Ross Nickoley accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter of Alabama and Ambetter of Tennessee and 2 other insurers list Ross Nickoley 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 Ross Nickoley affiliated with any hospitals?

According to CMS data, Ross Nickoley is affiliated with Trinity Rock Island.

When was this NPI record last updated?

The NPPES record for Ross Nickoley was last updated on February 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.