Mary K Nickel, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

APN2130 Issued in SC

Practice address

555 Cheves St
Florence, SC 29506-2617

Phone

(843) 777-8752

Fax

(843) 777-8705

NPI assigned

Mar 31, 2006

Last updated

Apr 10, 2013By 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 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

Specialty

Certified Registered Nurse Anesthetist (Crna)

Education

Other, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Coastal Healthcare Resources IncGroup PAC ID 1658283593, 19 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

State licenses

Practice roles

Locations

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.

• Coastal Healthcare Resources Inc

  • Anesthesiology Physician
  • Florence, SC
  • NPI 1467635128

  Nurse Anesthetist, Certified Registered

  Medicare reassignment Care Compare group NPD
• Florence Surgery & Laser Center LLC

  • Ophthalmologic Surgery Clinic/Center
  • Florence, SC
  • NPI 1912959560
  Medicare reassignment NPD
• McLeod Physician Associates II

  • Family Medicine Physician
  • Florence, SC
  • NPI 1801990494
  Medicare reassignment NPD
• McLeod Regional Medical Center of the Pee Dee, Inc

  dba Cbo MRMC Emergency

  • Emergency Medical Services (Emergency Medicine) Physician
  • Florence, SC
  • NPI 1154371433

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Florence Surgery & Laser Center LLC

  • Ambulatory Surgical Clinic/Center
  • Florence, SC
  • NPI 1437319027
  NPD
• McLeod Physician Associates II

  dba McLeod Orthopaedics - Florence

  • Orthopaedic Surgery Physician
  • Florence, SC
  • NPI 1922555739
  NPD
• McLeod Regional Medical Center of the Pee Dee, Inc

  dba McLeod Outpatient Pharmacy

  • Community/Retail Pharmacy
  • Florence, SC
  • NPI 1871775841
  NPD
• Lancaster Anesthesia & Associates, PA

  • Certified Registered Nurse Anesthetist
  • Lancaster, SC
  • NPI 1104898329

  Nurse Anesthetist, Certified Registered

  NPD (past)
• Lighthouse Anesthesiology of South Carolina, PA

  • Anesthesiology Physician
  • Sumter, SC
  • NPI 1043493810
  NPD (past)
• Anesthesia Network Services, LLC

  • Anesthesiology Physician
  • Ocala, FL
  • NPI 1508199142
  NPD (past)

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

{
    "created_epoch": "1143763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1365552000000",
    "number": "1225099807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 100551",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295010551",
            "telephone_number": "843-777-8752",
            "fax_number": "843-777-8705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 CHEVES ST",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295062617",
            "telephone_number": "843-777-8752",
            "fax_number": "843-777-8705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NICKEL",
        "first_name": "MARY",
        "middle_name": "K",
        "name_prefix": "Mrs.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-31",
        "last_updated": "2013-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "SC",
            "license": "APN2130",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "AN1331",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• New Generations Home Care Inc.
• New Life Health Care Agency
• Hailey Vivona New, PA-C
• Kevin Bradley Newman Jr., PA-C
• Newway Center LLC
• Judith Niebergall, COTA MLDT
• Nightingale's Nursing & Attendant Care Services, Inc.
• Nitelite, LLC
• Robert Evan Nix, PHARM.D.
• Meredith Coker Nobles, PHARMD

• Certified Registered Nurse Anesthetist in Florence, SC
• Providers in Florence, SC by specialty
• Certified Registered Nurse Anesthetist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2013; 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.