Christopher Michael Nickelson

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

120598 Issued in PA

Practice address

2000 Neuse Blvd
New Bern, NC 28560-3449

Phone

(252) 633-8846

NPI assigned

Sep 29, 2017

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Specialty

Certified Registered Nurse Anesthetist (Crna)

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Carolinaeast PhysiciansGroup PAC ID 0143378117, 203 clinicians

Carolinaeast Medical CenterGroup PAC ID 1557272564, 67 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Carolina East Medical Center Hospital, New Bern, NC, CCN 340131

Merit-based Incentive Payment System (MIPS)

Final score

72.61 of 100Reported as group

Quality

57.39

Promoting interoperability

68

Improvement activities

40

Cost

77.97

Medicare enrollment (NPD)

Enrolled

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 and National Provider Directory roles.

• Carolinaeast Medical Center

  • Certified Registered Nurse Anesthetist
  • New Bern, NC
  • NPI 1710923875

  Nurse Anesthetist, Certified Registered

  Medicare reassignment Care Compare group NPD
• Carolinaeast Physicians

  • Cardiovascular Disease Physician
  • New Bern, NC
  • NPI 1104066794
  Medicare reassignment Care Compare group NPD
• Carolinaeast Medical Center

  • Prosthetic/Orthotic Supplier
  • New Bern, NC
  • NPI 1427084680
  NPD
• Carolinaeast Physicians

  • Otolaryngology Physician
  • New Bern, NC
  • NPI 1275879439
  NPD
• Carolinaeast Physicians

  • Obstetrics & Gynecology Physician
  • New Bern, NC
  • NPI 1619868981
  NPD

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

• Carolinaeast Medical Center

  • General Acute Care Hospital
  • New Bern, NC
  • NPI 1801852835
  Care Compare affiliation

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

{
    "created_epoch": "1506643200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1517184000000",
    "number": "1477062743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 PORTER AVE",
            "city": "SCOTTDALE",
            "state": "PA",
            "postal_code": "156831138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 NEUSE BLVD",
            "city": "NEW BERN",
            "state": "NC",
            "postal_code": "285603449",
            "telephone_number": "252-633-8846"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NICKELSON",
        "first_name": "CHRISTOPHER",
        "middle_name": "MICHAEL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-09-29",
        "last_updated": "2018-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "PA",
            "license": "RN639963",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NC",
            "license": "300495",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "PA",
            "license": "120598",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Natasha Nicholls
• Sarah Franklin Nichols, FNP-BC
• Shmya Nichols
• Susanna Bilbao Nichols
• A'Shaunte Katrice Nicholson, LCSWA, LCASA
• Stephanie Nicol
• Clifford E Nielsen, CRNA
• Kiley Nielsen
• Jasmine Nixon
• Danita Nolan, LCSW-A

• Certified Registered Nurse Anesthetist in New Bern, NC
• Providers in New Bern, NC by specialty
• Certified Registered Nurse Anesthetist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2018; 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.