Individual provider Active NPI

Olga Nicholas, APRN, CRNA

  • Certified Registered Nurse Anesthetist
  • Geneva, IL
National Provider Identifier
1245620855
Registry record updated Sep 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
209012591 Issued in IL
Practice address
300 Randall Rd
Geneva, IL 60134-4200
Phone
(630) 208-4060
Fax
(630) 208-4401
NPI assigned
Feb 3, 2015
Last updated
Sep 19, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 19, 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 209012591 IL Primary

Addresses

Primary practice location

300 Randall Rd
Geneva, IL 60134-4200

Mailing address

300 Randall Rd
Geneva, IL 60134-4200
Phone (630) 208-4060

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150520001656 IL Practitioner - Certified Registered Nurse Anesthetist (Crna) 5193045888 Reassigns benefits to 10 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
University of South Florida College of Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Apollo Medical Group of Illinois LLCGroup PAC ID 4880036078, 22 clinicians
Ias Illinois PCGroup PAC ID 9638530991, 79 clinicians
North American Partners in Anesthesia Illinois LLCGroup PAC ID 1052576519, 431 clinicians

Practice addresses (Care Compare)

2475 Dean St
St Charles, IL 60175-4831
Phone (630) 584-9800

2525 Kaneville Rd
Geneva, IL 60134-2578
Phone (630) 584-1400

3249 Oak Park Ave
Berwyn, IL 60402-3429
Phone (708) 783-9100

5666 E State St
Rockford, IL 61108-2425
Phone (815) 226-2000

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Valley Ambulatory Surgery Center, LP Current Accepting new patients
Huntley Anesthesia Associates LLC CurrentSince Feb 7, 2017 Accepting new patients
Midwest Anesthesia Partners, LLC CurrentSince Oct 1, 2015 Accepting new patients
Ias Illinois PC CurrentSince Jul 17, 2023 Accepting new patients
Illinois Gastroenterology Group, LLC CurrentSince Aug 1, 2023 Accepting new patients
Windy City Anesthesia PC Nurse Anesthetist, Certified Registered CurrentSince Jun 9, 2021 Accepting new patients
Valley Ambulatory Surgery Center Anesthesiology LTD CurrentSince Jan 4, 2020 Accepting new patients
Town Square Anesthesia LLC CurrentSince Feb 7, 2017 Accepting new patients
North American Partners in Anesthesia (Illinois), LLC CurrentSince Nov 12, 2021 Accepting new patients
Apollo Medical Group of Illinois LLC Nurse Anesthetist, Certified Registered CurrentSince Jan 2, 2025 Accepting new patients
Northwest Gastroenterologists SC Current Accepting new patients
Windy City Anesthesia PC Nurse Anesthetist, Certified Registered CurrentSince Jun 9, 2021 Accepting new patients
Elgin Gastroenterology SC Current Accepting new patients
Elgin Gastroenterology Endoscopy Center LLC Current Accepting new patients

Locations

3249 Oak Park Ave
Berwyn, IL 60402
Phone (708) 783-2696

2900 N Lakeshore
Chicago, IL 60657
Phone (773) 665-3240

3034 W Peterson Ave
Chicago, IL 60659
Phone (773) 973-7432

745 Fletcher Dr
Ste 202
Elgin, IL 60123
Phone (855) 483-7362

77 N Airlite St
Elgin, IL 60123
Phone (847) 622-3407

21120 Washington Pkwy
Frankfort, IL 60423
Phone (815) 462-8470

2525 Kaneville Rd
Geneva, IL 60134
Phone (630) 584-1400

300 Randall Rd
Geneva, IL 60134
Phone (630) 208-4009

10350 Haligus Rd
Huntley, IL 60142
Phone (847) 802-7150

333 Madison St
Joliet, IL 60435
Phone (815) 725-7222

2550 W Algonquin Rd
Lk in the Hls, IL 60156
Phone (847) 458-1246

150 W High St
Morris, IL 60450
Phone (815) 942-2129

10401 S Roberts Rd
Ste 2
Palos Hills, IL 60465
Phone (708) 430-1600

5666 E State St
Rockford, IL 61108
Phone (815) 226-2000

2210 Dean St
St Charles, IL 60175
Phone (630) 443-3397

2475 Dean St
St Charles, IL 60175
Phone (630) 584-9800

2515 Klein Rd
Sycamore, IL 60178
Phone (800) 243-2587

700 Pasquinelli Dr
Westmont, IL 60559
Phone (630) 323-8690

3703 Doty Rd
Woodstock, IL 60098
Phone (815) 334-3170

Organizations & group practices 15

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.

View all 15

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1422921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695081600000",
    "number": "1245620855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 RANDALL RD",
            "city": "GENEVA",
            "state": "IL",
            "postal_code": "601344200",
            "telephone_number": "630-208-4060",
            "fax_number": "630-208-4401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 RANDALL RD",
            "city": "GENEVA",
            "state": "IL",
            "postal_code": "601344200",
            "telephone_number": "630-208-4060",
            "fax_number": "630-208-4401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NICHOLAS",
        "first_name": "OLGA",
        "credential": "APRN, CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-02-03",
        "last_updated": "2023-09-19",
        "certification_date": "2023-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "IL",
            "license": "209012591",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Geneva, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 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.