Sara-Nicole Nicoles, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

10313-33 Issued in WI

Practice address

6905 Plantation Rd
Ocean Springs, MS 39565-9002

Phone

(205) 441-5589

NPI assigned

Mar 19, 2018

Last updated

Apr 16, 2026By 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 4

Addresses

Other identifiers 1

Other names 1

• Sara Nicoles Other name

Medicare fee-for-service enrollment

Enrolled in NM, OK2 enrollments

Enrollment records 2

Specialty

Certified Registered Nurse Anesthetist (Crna)

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Stillwater Medical Center AuthorityGroup PAC ID 2365353794, 155 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Stillwater Medical Center Hospital, Stillwater, OK, CCN 370049

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

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

• Stillwater Medical Center Authority

  • Family Medicine Physician
  • Stillwater, OK
  • NPI 1558377135
  Medicare reassignment Care Compare group NPD
• Anesthesia Associates of New Mexico P C

  • Specialist
  • Albuquerque, NM
  • NPI 1912900754
  Medicare reassignment NPD
• Stillwater Medical Center Authority

  dba Stillwater Family Medical of Perry

  • Family Medicine Physician
  • Perry, OK
  • NPI 1407729361
  NPD
• University of Wisconsin Medical Foundation, Inc

  • Health Educator
  • Madison, WI
  • NPI 1487414082
  NPD
• University of Wisconsin Medical Foundation, Inc

  • Multi-Specialty Clinic/Center
  • Middleton, WI
  • NPI 1598784555
  NPD

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

• Stillwater Medical Center Authority

  dba Stillwater Medical Center

  • General Acute Care Hospital
  • Stillwater, OK
  • NPI 1164494027
  Care Compare affiliation

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

{
    "created_epoch": "1521417600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776297600000",
    "number": "1851895635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6905 PLANTATION RD",
            "city": "OCEAN SPRINGS",
            "state": "MS",
            "postal_code": "395659002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6905 PLANTATION RD",
            "city": "OCEAN SPRINGS",
            "state": "MS",
            "postal_code": "395659002",
            "telephone_number": "205-441-5589"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "900 Walnut Street",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "19107",
            "country_code": "US",
            "telephone_number": "215-955-6161",
            "fax_number": "215-923-5507",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "111 South 11th Street suite 8490",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "19107",
            "country_code": "US",
            "telephone_number": "215-955-6161",
            "fax_number": "215-923-5507",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NICOLES",
        "first_name": "SARA-NICOLE",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-19",
        "last_updated": "2026-04-16",
        "certification_date": "2026-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MA",
            "license": "RN2341791",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "WI",
            "license": "10313-33",
            "primary": true
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "PA",
            "license": "RN704920",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "PA",
            "license": "RN704920",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110001680A",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SARA",
            "last_name": "NICOLES",
            "credential": "CRNA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Lory Nguyen
• Stephanie N Nguyen, NP
• Thuy-Tien Nguyen, PHARM. D
• Chasity Wynn Nichols
• Rodney J Nichols, P.T.
• Paul D Niolet, M.D.
• Angela Parker Noble, NP-C
• North Halstead, LLC (Coastal Pharmacy)
• Shantel Nicole Nunez, O.D.
• Patricia R O'Kelley-Hughes, O.D.

• Certified Registered Nurse Anesthetist in Ocean Springs, MS
• Providers in Ocean Springs, MS by specialty
• Certified Registered Nurse Anesthetist in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2026; 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.