Active NPI
Nicole M Vanica, CRNA
- Certified Registered Nurse Anesthetist
- Lakewood, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 202862
- Practice address
- 11600 W 2ND PL
Lakewood, CO 80228-1527 - Phone
- (720) 321-1048
- NPI assigned
- Dec 29, 2011
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 202862 | CO | Primary |
| Certified Registered Nurse Anesthetist | 367500000X | 175866 | MT |
Addresses
Primary practice location
11600 W 2ND PL
Lakewood, CO 80228-1527
Mailing address
PO Box 150
Holly, CO 81047-0150
Phone (719) 537-0712
Other practice location 1
1101 26th St S
Great Falls, MT 59405-5161
Phone (406) 455-5000
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | nvanica19041@benefishs.direct-ci.com | Benefis Hospitals Inc |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO, MT
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1101 26TH St S
Great Falls, MT 59405-5161
Phone (406) 455-5000
Hospital & facility affiliations
- Benefis Hospitals Inc
Merit-based Incentive Payment System (MIPS)
- Final score
- 82.99 of 100
- Quality
- 62.64
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 80.67
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 175866 | MT | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anesthesia Dynamics LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Benefis Hospitals Inc | Current | Accepting new patients | |
| Arapahoe Gastroenterology Anesthesia Associates LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
Locations
14272 E Evans Ave
Aurora, CO 80014
Phone (303) 425-2800
13111 E Briarwood Ave
Ste 300
Centennial, CO 80112
Phone (303) 671-5533
4700 Hale Pkwy
Ste 200
Denver, CO 80220
Phone (303) 758-1175
7000 W Colfax Ave
Lakewood, CO 80214
Phone (303) 671-5553
1001 Southpark Dr
Littleton, CO 80120
Phone (303) 531-5724
9397 Crown Crest Blvd
Parker, CO 80138
Phone (303) 840-1135
10001 Washington St
Thornton, CO 80229
Phone (303) 252-0083
1101 26th St S
Great Falls, MT 59405
Phone (406) 455-4690
1101 26th St S
Fl 5
Great Falls, MT 59405
Phone (406) 455-2132
1401 25th St S
Great Falls, MT 59405
Phone (406) 455-3650
Organizations & group practices 3
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.
-
- Multi-Specialty Clinic/Center
- Great Falls, MT
- NPI 1780968974
-
- Certified Registered Nurse Anesthetist
- Littleton, CO
- NPI 1598115479
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Bradenton, FL
- NPI 1073001012
CO, Nurse Anesthetist, Certified Registered
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Great Falls, MT
- NPI 1881650737
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1325116800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1712275200000",
"number": "1316216898",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 150",
"city": "HOLLY",
"state": "CO",
"postal_code": "810470150",
"telephone_number": "719-537-0712",
"fax_number": "719-537-6284"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11600 W 2ND PL",
"city": "LAKEWOOD",
"state": "CO",
"postal_code": "802281527",
"telephone_number": "720-321-1048"
}
],
"practiceLocations": [
{
"address_1": "1101 26th St S",
"address_purpose": "LOCATION",
"city": "Great Falls",
"state": "MT",
"postal_code": "594055161",
"country_code": "US",
"telephone_number": "406-455-5000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "VANICA",
"first_name": "NICOLE",
"middle_name": "M",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-12-29",
"last_updated": "2024-04-05",
"certification_date": "2024-04-05",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "CO",
"license": "202862",
"primary": true
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "MT",
"license": "175866",
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "nvanica19041@benefishs.direct-ci.com",
"affiliation": "Y",
"affiliationName": "Benefis Hospitals Inc",
"address_1": "1101 26th St S",
"city": "Great Falls",
"state": "MT",
"country_code": "US",
"postal_code": "594055161",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Lakewood, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 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.