Active NPI
Kristine Nikolai, CRNA
- Certified Registered Nurse Anesthetist
- Stoughton, WI
National Provider Identifier
1124182613
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 4337500
- Practice address
- 900 Ridge St
Stoughton, WI 53589-1864 - Phone
- (608) 873-6611
- Fax
- (608) 873-2255
- NPI assigned
- Dec 20, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 4337500 | WI | Primary |
Addresses
Primary practice location
900 Ridge St
Stoughton, WI 53589-1864
Mailing address
900 Ridge St
Stoughton, WI 53589-1864
Phone (608) 873-6611
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 43330500 | Medicaid | WI | |
| 4337500 | Other | WI | LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
900 Ridge St
Stoughton, WI 53589-1864
Phone (608) 873-6611
Hospital & facility affiliations
- Stoughton Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 85.73 of 100
- Quality
- 87.42
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 65.02
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4337500 | WI | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Stoughton Hospital Association | Current | Accepting new patients | |
| Stoughton Hospital Association | Current | Accepting new patients |
Locations
990 Janesville St
Ste L
Oregon, WI 53575
900 Ridge St
Stoughton, WI 53589
Phone (608) 231-3410
Organizations & group practices 2
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.
-
- Critical Access Hospital
- Stoughton, WI
- NPI 1679558647
-
- Urgent Care Clinic/Center
- Cottage Grove, WI
- NPI 1811733066
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Stoughton, WI
- NPI 1679558647
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166572800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1251417600000",
"number": "1124182613",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "900 RIDGE ST",
"city": "STOUGHTON",
"state": "WI",
"postal_code": "535891864",
"telephone_number": "608-873-6611",
"fax_number": "608-873-2255"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "900 RIDGE ST",
"city": "STOUGHTON",
"state": "WI",
"postal_code": "535891864",
"telephone_number": "608-873-6611",
"fax_number": "608-873-2255"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NIKOLAI",
"first_name": "KRISTINE",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-20",
"last_updated": "2009-08-28",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "WI",
"license": "4337500",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "43330500",
"state": "WI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "4337500",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Stoughton, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2009; 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.