Individual provider Active NPI

Nichole Erickson-McDowell

  • Certified Registered Nurse Anesthetist
  • Elkhart, IN
National Provider Identifier
1396175642
Registry record updated Nov 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
28212680A Issued in IN
Practice address
500 N Nappanee St
Elkhart, IN 46514-1503
Phone
(574) 522-9922
Fax
(574) 522-9926
NPI assigned
Nov 24, 2013
Last updated
Nov 15, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2024

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 28212680A IN Primary

Addresses

Primary practice location

500 N Nappanee St
Elkhart, IN 46514-1503

Mailing address

500 N Nappanee St
Elkhart, IN 46514-1503
Phone (574) 522-9922

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN, IL, IA3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20140219000592 IN Practitioner - Certified Registered Nurse Anesthetist (Crna) 4082843941 Reassigns benefits to 3 organizations
I20241104000806 IL Practitioner - Certified Registered Nurse Anesthetist (Crna) 4082843941 Reassigns benefits to 2 organizations
I20241122003188 IA Practitioner - Certified Registered Nurse Anesthetist (Crna) 4082843941 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Apollo Anesthesia and Pain Management PLLCGroup PAC ID 9133550544, 27 clinicians

Practice addresses (Care Compare)

4500 Utica Ridge Rd
Bettendorf, IA 52722-1626
Phone (563) 742-5000

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
St Luke's Methodist Hospital Current Accepting new patients
Apollo Anesthesia and Pain Management, PLLC Nurse Anesthetist, Certified Registered CurrentSince Aug 26, 2024 Accepting new patients
Sda Consultants PLLC Nurse Anesthetist, Certified Registered CurrentSince Jul 1, 2023 Accepting new patients
Hammond Henry Dist Hospital CurrentSince Oct 1, 2024 Accepting new patients
Great Lakes Anesthesia, P.C. Nurse Anesthetist, Certified Registered CurrentSince Jan 1, 2014 Accepting new patients
Hammond Henry Dist Hospital CurrentSince Oct 1, 2024 Accepting new patients

Locations

4500 Utica Ridge Rd
Bettendorf, IA 52722
Phone (563) 742-2724

600 N College Ave
Geneseo, IL 61254
Phone (309) 944-6431

520 Valley View Dr
Ste 300
Moline, IL 61265
Phone (309) 762-1952

9301 Connecticut Dr
Crown Point, IN 46307
Phone (219) 756-2100

1004 Parkway Ave
Ste A
Elkhart, IN 46516
Phone (800) 966-7841

500 Arcade Ave
Ste 100
Elkhart, IN 46514
Phone (574) 389-5683

Interoperability endpoints

  • Direct secure messaging: nericksonmcdowell1108783@direct.unitypoint.org

Organizations & group practices 7

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.

Hospital & facility affiliations 1

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": "1385251200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731628800000",
    "number": "1396175642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 N NAPPANEE ST",
            "city": "ELKHART",
            "state": "IN",
            "postal_code": "465141503",
            "telephone_number": "574-522-9922",
            "fax_number": "574-522-9926"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 N NAPPANEE ST",
            "city": "ELKHART",
            "state": "IN",
            "postal_code": "465141503",
            "telephone_number": "574-522-9922",
            "fax_number": "574-522-9926"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ERICKSON-MCDOWELL",
        "first_name": "NICHOLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-11-24",
        "last_updated": "2024-11-15",
        "certification_date": "2024-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "IN",
            "license": "28212680A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elkhart, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 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.

Verify at the official NPI Registry.