Individual provider Active NPI

Nicholas Joseph Hill

  • Certified Registered Nurse Anesthetist
  • Clinton, MO
National Provider Identifier
1447333083
Registry record updated Mar 4, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
080112 Issued in MO
Practice address
1600 North Second St
Clinton, MO 64735-1192
Phone
(660) 890-7103
Fax
(660) 885-8496
NPI assigned
Oct 24, 2006
Last updated
Mar 4, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2010

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 080112 MO Primary

Addresses

Primary practice location

1600 North Second St
Clinton, MO 64735-1192

Mailing address

141 NE 770
Clinton, MO 64735
Phone (660) 885-2970

Other identifiers 1

IdentifierTypeStateIssuer
91285454MedicaidMO

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100902000617 MO Practitioner - Certified Registered Nurse Anesthetist (Crna) 0244354876 Reassigns benefits to 8 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Wayne State University School of Medicine, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Viking Anesthesia Services LLCGroup PAC ID 8628393972, 8 clinicians

Practice addresses (Care Compare)

5200 Executive Centre Pkwy
Suite 100
Saint Peters, MO 63376-3394
Phone (636) 928-1670

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Metro-West Anesthesia Group Inc Nurse Anesthetist, Certified Registered CurrentSince Aug 13, 2019 Accepting new patients
Aim Anesthesia LLC CurrentSince Jun 12, 2019 Accepting new patients
SW Anesthesia LLC CurrentSince Apr 8, 2019 Accepting new patients
Ambulatory Anesthesia Services of St. Charles, LLC CurrentSince Nov 3, 2014 Accepting new patients
Eye Anesthesia LLC CurrentSince Sep 1, 2019 Accepting new patients
Mercy Hospital Lincoln CurrentSince Apr 23, 2024 Accepting new patients
Viking Anesthesia Services, LLC CurrentSince Jan 20, 2024 Accepting new patients
Novamed Eye Surgery Center of North County, LLC Past Accepting new patients
Midwest Anesthesia Inc. Past Accepting new patients

Locations

12303 De Paul Dr
Bridgeton, MO 63044
Phone (314) 344-6360

3550 McKelvey Rd
Bridgeton, MO 63044
Phone 31474109114048

12345 W Bend Dr
Ste 201
Saint Louis, MO 63128
Phone (314) 722-2530

12990 Manchester Rd
Ste 103
Saint Louis, MO 63131
Phone (314) 406-1408

12990 Manchester Rd
Ste 105
Saint Louis, MO 63131
Phone (314) 686-4200

2345 Dougherty Ferry Rd
Saint Louis, MO 63122
Phone (314) 821-5850

6150 Oakland Ave
Saint Louis, MO 63139
Phone (314) 768-3000

633 Emerson Rd
Ste 140
Saint Louis, MO 63141
Phone (314) 991-2090

4203 S Cloverleaf Dr
Saint Peters, MO 63376
Phone (636) 346-6051

5200 Executive Centre Pkwy
Ste 100
Saint Peters, MO 63376
Phone (636) 928-1670

1000 E Cherry St
Troy, MO 63379
Phone (636) 528-3327

900 E Cherry St
Troy, MO 63379
Phone (636) 528-8585

Organizations & group practices 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1267660800000",
    "number": "1447333083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "141 NE 770",
            "city": "CLINTON",
            "state": "MO",
            "postal_code": "64735",
            "telephone_number": "660-885-2970",
            "fax_number": "660-885-8496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 NORTH SECOND ST",
            "city": "CLINTON",
            "state": "MO",
            "postal_code": "647351192",
            "telephone_number": "660-890-7103",
            "fax_number": "660-885-8496"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HILL",
        "first_name": "NICHOLAS",
        "middle_name": "JOSEPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-24",
        "last_updated": "2010-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MO",
            "license": "080112",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "91285454",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clinton, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2010; 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.