Nicole L Atack, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

AP123157 Issued in TX

Practice address

3801 N Lamar Blvd
Austin, TX 78756-4080

Phone

(512) 558-1443

Fax

(830) 885-2670

NPI assigned

Mar 14, 2013

Last updated

Aug 12, 2024By 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 2

Addresses

Other names 1

• Nicole Cooper Former name

Medicare fee-for-service enrollment

Enrolled in TX, VA, DC3 enrollments

Enrollment records 3

Specialty

Certified Registered Nurse Anesthetist (Crna)

Education

Baylor College of Medicine, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Anesthesia Associates of Seguin PLLCGroup PAC ID 4284620592, 24 clinicians

Austin Anesthesiology Group PLLCGroup PAC ID 0547256497, 430 clinicians

Celebrity Anesthesia PLLCGroup PAC ID 8325467608, 23 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Guadalupe Regional Medical Center Hospital, Seguin, TX, CCN 450104
• St David's Medical Center Hospital, Austin, TX, CCN 450431

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/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.

• Anesthesia Associates of Seguin PLLC

  • Anesthesiology Physician
  • Seguin, TX
  • NPI 1265458673
  Medicare reassignment Care Compare group NPD
• Austin Anesthesiology Group, PLLC

  • Anesthesiology Physician
  • Austin, TX
  • NPI 1598724304

  Nurse Anesthetist, Certified Registered

  Medicare reassignment Care Compare group NPD
• Celebrity Anesthesia PLLC

  dba Celebrity Anesthesia

  • Anesthesiology Physician
  • Austin, TX
  • NPI 1679193197
  Medicare reassignment Care Compare group NPD
• Gonzales Healthcare Systems

  dba Sievers Medical Clinic

  • Rural Health Clinic/Center
  • Gonzales, TX
  • NPI 1013916287
  Medicare reassignment NPD
• Healthtexas Provider Network

  • Family Medicine Physician
  • Dallas, TX
  • NPI 1760488936
  Medicare reassignment NPD
• Inova Cares - Community

  • Anesthesiology Physician
  • Fairfax, VA
  • NPI 1861131906

  DC

  Medicare reassignment NPD
• Austin Anesthesiology Group PLLC

  • Anesthesiology Physician
  • Bryan, TX
  • NPI 1528326154
  NPD
• Gonzales Healthcare Systems

  dba Memorial Hospital

  • General Acute Care Hospital
  • Gonzales, TX
  • NPI 1508859612
  NPD
• Gonzales Healthcare Systems

  dba Gonzales Professional Partners

  • Diagnostic Radiology Physician
  • Gonzales, TX
  • NPI 1922856699
  NPD
• Healthtexas Provider Network

  dba Symmetry Anesthesia

  • Anesthesiology Physician
  • Lakeway, TX
  • NPI 1104714583
  NPD
• Healthtexas Provider Network

  dba One Medical with Baylor Scott & White Health

  • Family Medicine Physician
  • Dallas, TX
  • NPI 1962153940
  NPD

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

• Guadalupe County Hospital Board

  dba Guadalupe Regional Medical Center Cardiology

  • Nursing Care Agency
  • Seguin, TX
  • NPI 1487674727

  Hospital

  Care Compare affiliation
• Guadalupe County Hospital Board

  dba Guadalupe Regional Medical Center

  • General Acute Care Hospital
  • Seguin, TX
  • NPI 1720088123
  Care Compare affiliation
• Guadalupe County Hospital Board

  dba Guadalupe Regional Medical Laurel

  • General Acute Care Hospital
  • Seguin, TX
  • NPI 1780529966
  Care Compare affiliation
• St. Davids Healthcare Partnership, L.P., LLP

  dba Heart Hospital of Austin

  • General Acute Care Hospital
  • Austin, TX
  • NPI 1720033947
  Care Compare affiliation

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

{
    "created_epoch": "1363219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723420800000",
    "number": "1114268158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 300087",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787030002",
            "telephone_number": "512-558-1443",
            "fax_number": "830-885-2670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3801 N LAMAR BLVD",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787564080",
            "telephone_number": "512-558-1443",
            "fax_number": "830-885-2670"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1110 N Sarah DeWitt Dr",
            "address_purpose": "LOCATION",
            "city": "Gonzales",
            "state": "TX",
            "postal_code": "786293311",
            "country_code": "US",
            "telephone_number": "830-672-7581",
            "fax_number": "830-672-2401",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ATACK",
        "first_name": "NICOLE",
        "middle_name": "L",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-03-14",
        "last_updated": "2024-08-12",
        "certification_date": "2024-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TX",
            "license": "729081",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TX",
            "license": "AP123157",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NICOLE",
            "last_name": "COOPER",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• At First Sight Eye Care, LLC
• At Home Telehealth PT, PLLC
• At Home Ultrasound Consultants LLC (At Home Ultrasound)
• At Your Six, LLC
• Ashley Atack, PHARMD
• Shadi Atallah
• Antse Atanga, LAT
• Ataraxis TX
• Ensy Ann Atarod, DDS, MPH
• Shana Atassi, D.D.S.

• Certified Registered Nurse Anesthetist in Austin, TX
• Providers in Austin, TX by specialty
• Certified Registered Nurse Anesthetist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2024; 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.