William C Nicol, CRNA
Individual provider Active NPI Certified Registered Nurse Anesthetist · Red Lodge, MT
NPI 1821057175 · NPPES record last updated Jul 13, 2026
Key facts
- NPI
- 1821057175
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Certified Registered Nurse Anesthetist 367500000X
- License
- 12289 (MT)
- Practice address
- 819 Lower Continental
# 2
Red Lodge, MT 59068-2411 - Phone
- (406) 853-5480
- NPI assigned
- Mar 23, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12289 | MT | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Yellowstone Anesthesia Associates P.C. | Past | Accepting new patients | |
| Mid West Anesthesia Consultants LLC | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 12289 | MT | Yes |
Addresses
Primary practice location
819 Lower Continental
# 2
Red Lodge, MT 59068-2411
Mailing address
PO Box 2411
Red Lodge, MT 59068-2411
Phone (406) 853-5480
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0433953 | Medicaid | MT |
Other providers in Red Lodge, MT
- Memorial Hospital Association
- John Joseph Monroe
- Gregory Moos
- Lynette Mortimer
- Mountain Springs Living Inc.
- Beth Amy Nordstrom
- Erin Oley
- William B. Oley
- Palisades Counseling Services
- Palisades Counseling, LLC
All providers in Red Lodge, MT · Certified Registered Nurse Anesthetist in Montana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 13, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.