Zachery Charles Nichols
Individual provider Active NPI Certified Registered Nurse Anesthetist · Murfreesboro, TN
NPI 1093354292 · NPPES record last updated Jan 6, 2020
Key facts
- NPI
- 1093354292
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Certified Registered Nurse Anesthetist 367500000X
- License
- 26942 (TN)
- Practice address
- 1800 Medical Center Pkwy Ste 330
Murfreesboro, TN 37129-2586 - Phone
- (615) 396-4464
- Fax
- (615) 396-6748
- NPI assigned
- Jan 6, 2020
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Murfreesboro Anesthesia Group, P.a.
Practice addresses (Care Compare)
1800 Medical Ctr Pkwy
Suite 330
Murfreesboro, TN 37129-2586
Phone (615) 410-7873
Hospital & facility affiliations
- Saint Thomas Rutherford Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TN
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200210002018 | TN | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 8224464342 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Murfreesboro Anesthesia Group, P.a. | Nurse Anesthetist, Certified Registered | Current |
Accepting new patients |
Locations
1800 Medical Center Pkwy
Ste 330
Murfreesboro, TN 37129
Phone (615) 396-4464
Interoperability endpoints
- carol@magpa.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 26942 | TN | Yes |
Addresses
Primary practice location
1800 Medical Center Pkwy Ste 330
Murfreesboro, TN 37129-2586
Mailing address
PO Box 1252
Murfreesboro, TN 37133-1252
Phone (615) 396-4464
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | CAROL@MAGPA.COM | Direct |
Other providers in Murfreesboro, TN
- NHC-Op LP
- NHC-Op LP
- Harmony Marie Niblett
- Hayley K Nichols
- Marla Nichols
- Gregory Michael Nicholson
- Suzanne Peeples Nickells
- Brant Logan Nickens
- Stephanie Davis Nipper
- Kamisha Niter
All providers in Murfreesboro, TN · Certified Registered Nurse Anesthetist in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 6, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.