Active NPI
Nickolas R Crusius
- Nurse Practitioner
- Bellingham, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- AP70012064
- Practice address
- 2901 Squalicum Pkwy
Bellingham, WA 98225-1851 - Phone
- (360) 734-5400
- NPI assigned
- Jan 9, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 201705910RN | OR | |
| Acute Care Nurse Practitioner | 363LA2100X | 10031480 | OR | |
| Nurse Practitioner | 363L00000X | AP70012064 | WA | Primary |
Addresses
Primary practice location
2901 Squalicum Pkwy
Bellingham, WA 98225-1851
Mailing address
726 Cherry St # 214
Sumas, WA 98295-9649
Phone (520) 971-8176
Other practice location 1
1910 University Dr
Boise, ID 83725-5606
Phone (208) 426-4143
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2901 Sqaulicum Pkwy
Bellingham, WA 98225-1851
Phone (360) 734-5400
407 14TH Ave SE
Puyallup, WA 98372-3770
Phone (253) 697-4000
Hospital & facility affiliations
- Peacehealth St Joseph Medical Center
- Providence Seaside Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP70012064 | WA | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| South Sound Inpatient Physicians PLLC | Current | Accepting new patients | |
| South Sound Inpatient Physicians PLLC | Nurse Practitioner | Current | Accepting new patients |
| South Sound Inpatient Physicians PLLC | Current | Accepting new patients | |
| Peacehealth | Past | Accepting new patients |
Locations
120 Brentwood Commons Way
Ste 510
Brentwood, TN 37027
Phone (253) 682-6040
2901 Squalicum Pkwy
Bellingham, WA 98225
Phone (360) 734-5400
407 14th Ave SE
Puyallup, WA 98372
Phone (253) 697-4000
Organizations & group practices 4
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.
-
- Internal Medicine Physician
- Vancouver, WA
- NPI 1023285756
Nurse Practitioner
-
- Internal Medicine Physician
- Bremerton, WA
- NPI 1831366566
-
- Internal Medicine Physician
- Hillsboro, OR
- NPI 1508023789
-
- Rural Acute Care Hospital
- Bellingham, WA
- NPI 1487904546
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Rural Acute Care Hospital
- Bellingham, WA
- NPI 1487904546
-
- General Acute Care Hospital
- Bellingham, WA
- NPI 1689677320
-
- Critical Access Hospital
- Seaside, OR
- NPI 1578500492
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1673222400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1754870400000",
"number": "1487368296",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "726 CHERRY ST # 214",
"city": "SUMAS",
"state": "WA",
"postal_code": "982959649",
"telephone_number": "520-971-8176"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2901 SQUALICUM PKWY",
"city": "BELLINGHAM",
"state": "WA",
"postal_code": "982251851",
"telephone_number": "360-734-5400"
}
],
"practiceLocations": [
{
"address_1": "1910 University Dr",
"address_purpose": "LOCATION",
"city": "Boise",
"state": "ID",
"postal_code": "837255606",
"country_code": "US",
"telephone_number": "208-426-4143",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CRUSIUS",
"first_name": "NICKOLAS",
"middle_name": "R",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-01-09",
"last_updated": "2025-08-11",
"certification_date": "2025-08-11",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "OR",
"license": "201705910RN",
"primary": false
},
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "OR",
"license": "10031480",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "WA",
"license": "AP70012064",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bellingham, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.