Individual provider Active NPI

Nicole A Irick, CRNA

  • Certified Registered Nurse Anesthetist
  • Exton, PA
National Provider Identifier
1174074629
Registry record updated Oct 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
RN648140 Issued in PA
Practice address
140 John Robert Thomas Dr
Exton, PA 19341-2656
Phone
(610) 280-9144
NPI assigned
Oct 19, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X RN648140 PA Primary

Addresses

Primary practice location

140 John Robert Thomas Dr
Exton, PA 19341-2656

Mailing address

411 N Saddlebrook Cir
Chester Springs, PA 19425-2329
Phone (412) 848-7973

Other practice location 1

333 Cottman Ave
Philadelphia, PA 19111-2434
Phone (888) 369-2427

Other practice location 2

255 W Lancaster Ave
Paoli, PA 19301-1763
Phone (484) 565-1000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161129000879 PA Practitioner - Certified Registered Nurse Anesthetist (Crna) 1153601661 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
United Anesthesia Services PCGroup PAC ID 3173437613, 437 clinicians

Practice addresses (Care Compare)

255 W Lancaster Ave
Paoli, PA 19301-1763
Phone (610) 648-1000

744 W Lancaster Ave
Wayne, PA 19082-2523
Phone (610) 645-2000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Temple Faculty Practice Plan Inc CurrentSince Mar 4, 2019 Accepting new patients
Temple Faculty Practice Plan Inc Current Accepting new patients
Anestiplus, Inc. CurrentSince Dec 27, 2023 Accepting new patients
Temple Faculty Practice Plan, Inc CurrentSince Mar 4, 2019 Accepting new patients

Locations

100 Presidential Blvd
Fl 4
Bala Cynwyd, PA 19004
Phone (610) 664-2122

140 John Robert Thomas Dr
Exton, PA 19341
Phone (610) 280-9144

123 W Germantown Pike
Ste 2
Norristown, PA 19401
Phone (610) 278-7455

2450 W Hunting Park Ave
Philadelphia, PA 19129
Phone (215) 707-2433

333 Cottman Ave
Philadelphia, PA 19111
Phone (215) 728-3893

3401 N Broad St
Philadelphia, PA 19140
Phone (215) 707-3807

744 Lancaster Ave
Wayne, PA 19087
Phone (215) 244-7400

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1476835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698105600000",
    "number": "1174074629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "411 N SADDLEBROOK CIR",
            "city": "CHESTER SPRINGS",
            "state": "PA",
            "postal_code": "194252329",
            "telephone_number": "412-848-7973"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 JOHN ROBERT THOMAS DR",
            "city": "EXTON",
            "state": "PA",
            "postal_code": "193412656",
            "telephone_number": "610-280-9144"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "333 Cottman Ave",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191112434",
            "country_code": "US",
            "telephone_number": "888-369-2427",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "255 W Lancaster Ave",
            "address_purpose": "LOCATION",
            "city": "Paoli",
            "state": "PA",
            "postal_code": "193011763",
            "country_code": "US",
            "telephone_number": "484-565-1000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "IRICK",
        "first_name": "NICOLE",
        "middle_name": "A",
        "name_prefix": "Ms.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-10-19",
        "last_updated": "2023-10-24",
        "certification_date": "2023-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "PA",
            "license": "RN648140",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Exton, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2023; 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.