Nicole Borem Schickel, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

28141071 Issued in IN

Practice address

5734 Coventry LN
Fort Wayne, IN 46804-7141

Phone

(260) 436-7875

NPI assigned

May 10, 2006

Last updated

Mar 17, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

Specialty

Certified Registered Nurse Anesthetist (Crna)

Education

Other, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Aas Indiana LLCGroup PAC ID 4688045115, 43 clinicians

Indiana Anesthesia LLCGroup PAC ID 3274940846, 8 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://sehproxy.stelizabeth.com/arr-fhir/api/FHIR/R4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Indiana Anesthesia, LLC

  • Certified Registered Nurse Anesthetist
  • Indianapolis, IN
  • NPI 1871182477

  Nurse Anesthetist, Certified Registered

  Medicare reassignment Care Compare group NPD
• Aas Indiana LLC

  • Anesthesiology Physician
  • Novi, MI
  • NPI 1831827021

  IN, Nurse Anesthetist, Certified Registered

  Medicare reassignment Care Compare group NPD
• Amsurg Indianapolis Anesthesia LLC

  • Anesthesiology Physician
  • Indianapolis, IN
  • NPI 1487056388
  Medicare reassignment NPD
• Great Lakes Anesthesia, P.C.

  • Anesthesiology Physician
  • Elkhart, IN
  • NPI 1720039977

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Hendricks County Hospital

  dba HRH Associate Health

  • General Practice Physician
  • Danville, IN
  • NPI 1497536163
  Medicare reassignment NPD
• Northstar Anesthesia of Indiana LLC

  • Anesthesiology Physician
  • Arlington, TX
  • NPI 1043561541

  IN, Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Hendricks County Hospital

  dba Hendricks Regional Health Immediate Care

  • Urgent Care Clinic/Center
  • Avon, IN
  • NPI 1063411551
  NPD (past)
• Hendricks County Hospital

  dba Stafford Pointe Family Physicians

  • Family Medicine Physician
  • Plainfield, IN
  • NPI 1104927557
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1147219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1023068269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5734 COVENTRY LN",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468047141",
            "telephone_number": "260-436-7875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5734 COVENTRY LN",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468047141",
            "telephone_number": "260-436-7875"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1000 E Main St",
            "address_purpose": "LOCATION",
            "city": "Danville",
            "state": "IN",
            "postal_code": "461221948",
            "country_code": "US",
            "telephone_number": "317-745-4451",
            "fax_number": "317-718-6740",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOREM SCHICKEL",
        "first_name": "NICOLE",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-10",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "IN",
            "license": "28141071",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tami Elaine Booth, LMHC
• Carrie Jean Boots, N.P.
• Layla Bopp
• Tarena Michele Borden, MA
• William J Borders
• Aric A Borjas
• Bhagwant B Borkar, M.D.
• Jay Harvey Bormann, RPH.
• John Louis Bormann, MD
• Jennifer M. Born, PA

• Certified Registered Nurse Anesthetist in Fort Wayne, IN
• Providers in Fort Wayne, IN by specialty
• Certified Registered Nurse Anesthetist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.