Jon B. Nickell, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

100127 Issued in NE

Practice address

2 W 42ND St
Suite 1500
Scottsbluff, NE 69361-4669

Phone

(308) 635-7362

NPI assigned

Nov 1, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

Practice roles

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/14130/brand/1/csg/1/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.

• Associated Anesthesiologists PC

  • Anesthesiology Physician
  • Lincoln, NE
  • NPI 1972674604
  NPD (past)
• North Platte Nebraska Physician Group LLC

  • Emergency Medicine Physician
  • North Platte, NE
  • NPI 1740465715

  Nurse Anesthetist, Certified Registered

  NPD (past)
• Panhandle Anesthesia Associates PC

  • Anesthesiology Physician
  • Scottsbluff, NE
  • NPI 1801966965
  NPD (past)
• Regenirex, LLC

  • Pain Medicine (Anesthesiology) Physician
  • Kearney, NE
  • NPI 1669827614
  NPD (past)

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1073690236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1214 HILLTOP CIR",
            "city": "NORTH PLATTE",
            "state": "NE",
            "postal_code": "691016734",
            "telephone_number": "308-532-8789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 W 42ND ST",
            "address_2": "SUITE 1500",
            "city": "SCOTTSBLUFF",
            "state": "NE",
            "postal_code": "693614669",
            "telephone_number": "308-635-7362"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NICKELL",
        "first_name": "JON",
        "middle_name": "B.",
        "name_prefix": "Mr.",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NE",
            "license": "100127",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carrie L Nemnich, B.S.
• Jina L Nemnich, APRN
• New Health Counseling
• Colby Paxson Newkirk, PA-C
• Thao T Nguyen, DO
• Larry Wayne Nochi, PHARM D
• Craig Douglas Noe, PHARM. D.
• North Platte Valley Oral & Maxillofacial Surgery, P.C.
• Northfield Retirement Communities (Northfield Retirement Communities Care Center)
• Northfield Retirement Communities, Inc (Northfield Villa Health Care Center)

• Certified Registered Nurse Anesthetist in Scottsbluff, NE
• Providers in Scottsbluff, NE by specialty
• Certified Registered Nurse Anesthetist in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.