Nicolette Harbison, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

RN608325 Issued in PA

Practice address

1 Medical Park
Wheeling, WV 26003-6379

Phone

(304) 233-2455

Fax

(304) 233-6073

NPI assigned

Jan 26, 2016

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

Other names 1

• Nicolette Chickis Former name

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Specialty

Certified Registered Nurse Anesthetist (Crna)

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Keystone Anesthesia Consultants, LTDGroup PAC ID 2769378751, 51 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Washington Hospital, the Hospital, Washington, PA, CCN 390042

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

State licenses

Practice roles

Locations

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

• Keystone Anesthesia Consultants, LTD

  • Anesthesiology Physician
  • Washington, PA
  • NPI 1861450751
  Medicare reassignment Care Compare group NPD
• St Clair Anesthesiology Associates Inc

  • Anesthesiology Physician
  • Pittsburgh, PA
  • NPI 1154380384

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Upmc Washington

  • Special Hospital
  • Washington, PA
  • NPI 1336459452
  Care Compare affiliation
• Upmc Washington

  • General Acute Care Hospital
  • Washington, PA
  • NPI 1609984889
  Care Compare affiliation

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

{
    "created_epoch": "1453766400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586995200000",
    "number": "1053778720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "119 WOODSIDE DR",
            "city": "WASHINGTON",
            "state": "PA",
            "postal_code": "153013033",
            "telephone_number": "304-233-2455",
            "fax_number": "304-234-8960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 MEDICAL PARK",
            "city": "WHEELING",
            "state": "WV",
            "postal_code": "260036379",
            "telephone_number": "304-233-2455",
            "fax_number": "304-233-6073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARBISON",
        "first_name": "NICOLETTE",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-01-26",
        "last_updated": "2020-04-16",
        "certification_date": "2020-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "PA",
            "license": "RN608325",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NICOLETTE",
            "last_name": "CHICKIS",
            "credential": "CRNA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Shelly Hancher
• Handicap Home Access and Modifications
• Hanger Prosthetics & Orthotics Inc
• Amanda Hanson, N.P
• Graham Pierce Harbison, CRNA
• Rosemarie Elizabeth Hardin, M.D.
• Steven Ray Hardin, PA-C
• Kelsey Hardman
• Mary T Hardman, CRNA
• Frederick Clark Harmon, MA

• Certified Registered Nurse Anesthetist in Wheeling, WV
• Providers in Wheeling, WV by specialty
• Certified Registered Nurse Anesthetist in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2020; 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.