Individual provider Active NPI

Rachael J Nikkola, CRNA

  • Certified Registered Nurse Anesthetist
  • Sitka, AK
National Provider Identifier
1881645059
Registry record updated Jun 29, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
149952-030 Issued in WI
Practice address
222 Tongass Dr
Sitka, AK 99835-9416
Phone
(907) 966-8421
NPI assigned
May 13, 2006
Last updated
Jun 29, 2009By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 149952-030 WI Primary
Certified Registered Nurse Anesthetist 367500000X 306 AK

Addresses

Primary practice location

222 Tongass Dr
Sitka, AK 99835-9416

Mailing address

212 Lakeview Dr
Sitka, AK 99835-7308
Phone (907) 747-7187

Other identifiers 3

IdentifierTypeStateIssuer
8EE010OtherAKINDIVIDUAL PLAN
TE063OtherAKMEDICARE FACILITY PLAN
44341000MedicaidWI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
89.74 of 100Reported as group
Quality
88.73
Promoting interoperability
100
Improvement activities
40
Cost
77.08

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
306AKMDPhysical Therapist
149952-030WIMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Public Hospital Dist No 1 Skagit Current Accepting new patients
Sight Partners Physicians, P.C. CurrentSince Aug 30, 2022 Accepting new patients
Public Hospital Dist No 1 Skagit CurrentSince Jun 1, 2017 Accepting new patients
Sight Partners Physicians, P.C. Current Accepting new patients
Sight Partners Physicians PC CurrentSince Aug 30, 2022 Accepting new patients
Public Hospital Dist No 1 Skagit CurrentSince Jun 1, 2017 Accepting new patients
Stevens Point Anesthesia Association, S.C. Past Accepting new patients

Locations

16404 Smokey Point Blvd
Ste 303
Arlington, WA 98223
Phone (360) 658-6224

330 S Stillaguamish Ave
Arlington, WA 98223
Phone (360) 435-2133

903 Medical Center Dr
Ste 100
Arlington, WA 98223
Phone (360) 435-8595

1400 E Kincaid St
Mount Vernon, WA 98274
Phone (360) 428-2586

1412 SW 43rd St
Ste 310
Renton, WA 98057
Phone (425) 235-1200

795 N 5th Ave
Sequim, WA 98382
Phone (360) 658-6224

9671 N Nevada St
Ste 210
Spokane, WA 99218
Phone (509) 468-2020

16010 E Indiana Ave
Spokane Valley, WA 99216
Phone (509) 928-8040

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1147478400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1246233600000",
    "number": "1881645059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "212 LAKEVIEW DR",
            "city": "SITKA",
            "state": "AK",
            "postal_code": "998357308",
            "telephone_number": "907-747-7187"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 TONGASS DR",
            "city": "SITKA",
            "state": "AK",
            "postal_code": "998359416",
            "telephone_number": "907-966-8421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIKKOLA",
        "first_name": "RACHAEL",
        "middle_name": "J",
        "name_prefix": "Mrs.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-13",
        "last_updated": "2009-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "WI",
            "license": "149952-030",
            "primary": true
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "AK",
            "license": "306",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL PLAN",
            "identifier": "8EE010",
            "state": "AK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE FACILITY PLAN",
            "identifier": "TE063",
            "state": "AK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "44341000",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sitka, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.