Nicole Hickman, STUDENT

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

D174685 Issued in IA

Practice address

312 9TH St SW
Waverly, IA 50677-2999

Phone

(319) 352-4120

NPI assigned

Mar 30, 2021

Last updated

Apr 10, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in IA

Enrollment records 1

Specialty

Certified Registered Nurse Anesthetist (Crna)

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Waverly Health CenterGroup PAC ID 8820996762, 44 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Waverly Health Center Hospital, Waverly, IA, CCN 161339

Medicare enrollment (NPD)

Enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Waverly Health Center

  dba Waverly Health Center Anesthesia

  • Certified Registered Nurse Anesthetist
  • Waverly, IA
  • NPI 1033125463

  Nurse Anesthetist, Certified Registered

  Medicare reassignment Care Compare group NPD
• Waverly Health Center

  dba Janesville Clinic

  • Rural Health Clinic/Center
  • Janesville, IA
  • NPI 1184094534
  NPD

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

• Waverly Health Center

  • Critical Access Hospital
  • Waverly, IA
  • NPI 1447299953
  Care Compare affiliation

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

{
    "created_epoch": "1617062400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712707200000",
    "number": "1497333660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "427 N MAPLE ST",
            "city": "JANESVILLE",
            "state": "IA",
            "postal_code": "506471021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "312 9TH ST SW",
            "city": "WAVERLY",
            "state": "IA",
            "postal_code": "506772999",
            "telephone_number": "319-352-4120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HICKMAN",
        "first_name": "NICOLE",
        "credential": "STUDENT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-30",
        "last_updated": "2024-04-10",
        "certification_date": "2024-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "IA",
            "license": "D174685",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathleen Ranae Heise, ARNP
• Jessica Henaughan, OTR/L
• David Edward Henry, M.D.
• Heritage Dental LLC
• Sara R Hermsen, OTR
• Kaitlin Hilmer, ARNP, FNP-C
• Angela Christine Hjelmeland
• Bradley David Hjelmeland, LISW IADC
• Emily Suzanne Hogle, PT, DPT
• Leeann Hoodjer, DNP, FNP, PMHNP

• Certified Registered Nurse Anesthetist in Waverly, IA
• Providers in Waverly, IA by specialty
• Certified Registered Nurse Anesthetist in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 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.