Individual provider Active NPI

Nicole Renee Brinkley, RN

  • Certified Registered Nurse Anesthetist
  • Melville, NY
National Provider Identifier
1801254149
Registry record updated Apr 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
0024173294 Issued in VA
Practice address
68 S Service Rd
Suite 350
Melville, NY 11747-2354
Phone
(516) 945-3000
Fax
(516) 945-3131
NPI assigned
Feb 1, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine Registered Nurse 163WC0200X 0001197859 VA
Certified Registered Nurse Anesthetist 367500000X 0024173294 VA Primary

Addresses

Primary practice location

68 S Service Rd
Suite 350
Melville, NY 11747-2354

Mailing address

68 S Service Rd
Suite 350
Melville, NY 11747-2354
Phone (516) 945-3000

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160316001499 VA Practitioner - Certified Registered Nurse Anesthetist (Crna) 8628374626 Reassigns benefits to 7 organizations

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
Capital Digestive Care LLCGroup PAC ID 3870669419, 241 clinicians
SMG Anesthesia Specialists LLCGroup PAC ID 6305081118, 501 clinicians
Northstar Anesthesia of Virginia, LLCGroup PAC ID 6608268826, 407 clinicians

Practice addresses (Care Compare)

217 Bulifants Blvd
Suite B
Williamsburg, VA 23188-5751
Phone (757) 534-7701

2800 Godwin Blvd
Suffolk, VA 23434-8038
Phone (757) 934-4000

844 Battlefield Blvd N
Chesapeake, VA 23320-4802
Phone (757) 312-6800

Hospital & facility affiliations

  • Sentara Obici Hospital Hospital, Suffolk, VA, CCN 490044
  • Sentara Careplex Hospital Hospital, Hampton, VA, CCN 490093

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0024173294VAMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
SMG Anesthesia Specialists LLC CurrentSince Nov 20, 2021 Accepting new patients
Ambulatory Anesthesia Associates LLC Nurse Anesthetist, Certified Registered CurrentSince Jan 1, 2023 Accepting new patients
East Carolina Anesthesia Associates, PLLC Nurse Anesthetist, Certified Registered CurrentSince Oct 1, 2025 Accepting new patients
American Anesthesiology of Virginia PC CurrentSince Jun 1, 2021 Accepting new patients
American Anesthesiology of Virginia, PC CurrentSince Jun 1, 2021 Accepting new patients
Goodwin & Snyder Anesthesia Associates, PLLC Nurse Anesthetist, Certified Registered CurrentSince Feb 1, 2023 Accepting new patients
Northstar Anesthesia of Virginia, LLC CurrentSince Mar 24, 2023 Accepting new patients

Locations

400 10th St E
Waconia, MN 55387

500 Martha Jefferson Dr
Charlottesvle, VA 22911
Phone (434) 654-7000

736 Battlefield Blvd N
Chesapeake, VA 23320
Phone (757) 312-6124

844 Battlefield Blvd N
Chesapeake, VA 23320
Phone (757) 312-6746

541 Sunset Ln
Ste 201
Culpeper, VA 22701
Phone (540) 829-0700

19455 Deerfield Ave
Ste 204
Leesburg, VA 20176
Phone (703) 724-9950

11803 Jefferson Ave
Ste 230
Newport News, VA 23606
Phone (757) 534-7701

241 Corporate Blvd
Norfolk, VA 23502
Phone (757) 362-3577

500 J Clyde Morris Blvd
North North, VA 23601
Phone (757) 594-2000

2800 Godwin Blvd
Suffolk, VA 23434
Phone (757) 363-6850

2025 Glenn Mitchell Dr
Virginia Beach, VA 23456
Phone (757) 507-1000

1037 First Colonial Rd
Virginia Beach, VA 23454
Phone (757) 491-3535

229 Clearfield Ave
Ste 200
Virginia Beach, VA 23462
Phone (757) 312-6300

5215 Monticello Ave
Williamsburg, VA 23188
Phone (757) 229-4000

Organizations & group practices 8

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.

Hospital & facility affiliations 2

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": "1454284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712793600000",
    "number": "1801254149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "68 S SERVICE RD",
            "address_2": "SUITE 350",
            "city": "MELVILLE",
            "state": "NY",
            "postal_code": "117472354",
            "telephone_number": "516-945-3000",
            "fax_number": "516-945-3131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "68 S SERVICE RD",
            "address_2": "SUITE 350",
            "city": "MELVILLE",
            "state": "NY",
            "postal_code": "117472354",
            "telephone_number": "516-945-3000",
            "fax_number": "516-945-3131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRINKLEY",
        "first_name": "NICOLE",
        "middle_name": "RENEE",
        "name_prefix": "Miss",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-02-01",
        "last_updated": "2024-04-11",
        "certification_date": "2024-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Critical Care Medicine",
            "state": "VA",
            "license": "0001197859",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "VA",
            "license": "0024173294",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Melville, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 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.