Nicklaus James Schuermann, CRNA
Individual provider Active NPI Certified Registered Nurse Anesthetist · Raleigh, NC
NPI 1891146833 · NPPES record last updated Jul 19, 2016
Key facts
- NPI
- 1891146833
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Certified Registered Nurse Anesthetist 367500000X
- License
- 110910 (NC)
- Practice address
- 3400 Wake Forest Rd
Raleigh, NC 27609-7317 - Phone
- (919) 954-3765
- NPI assigned
- Jun 30, 2016
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 7
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- East Carolina Health - Heritage Inc
Practice addresses (Care Compare)
111 Hospital Dr
Tarboro, NC 27886-2011
Phone (252) 827-8101
Hospital & facility affiliations
- Vidant Edgecombe Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NC
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160815000342 | NC | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 5496049447 | Reassigns benefits to 4 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 255689 | NC | MD | Registered Nurse |
| 110910 | NC | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| American Anesthesiology of North Carolina, PLLC | Nurse Anesthetist, Certified Registered | Current |
Accepting new patients |
| East Carolina Health - Heritage Inc | Current |
Accepting new patients | |
| American Anesthesiology of North Carolina, PLLC | Nurse Anesthetist, Certified Registered | Current |
Accepting new patients |
| East Carolina Health - Heritage Inc | Nurse Anesthetist, Certified Registered | Current |
Accepting new patients |
Locations
3100 Spring Forest Rd
Ste 130
Raleigh, NC 27616
Phone (919) 882-0705
4420 Lake Boone Trl
Raleigh, NC 27607
Phone (919) 784-3034
3400 Wake Forest Rd
Raleigh, NC 27609
Phone (919) 954-3000
111 Hospital Dr
Tarboro, NC 27886
Phone (252) 641-7700
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 110910 | NC | Yes |
| Registered Nurse | 163W00000X | 255689 | NC |
Addresses
Primary practice location
3400 Wake Forest Rd
Raleigh, NC 27609-7317
Mailing address
3100 Spring Forest Rd
Suite 130
Raleigh, NC 27616-2880
Phone (919) 882-0795
Other providers in Raleigh, NC
- Katie Elizabeth Schroeder
- Marjorie Ann Schroeder
- Schryver Medical Sales and Marketing, LLC
- Kylie Margaret Schuck
- Anna Kiernan Schuermann
- Carly Sarah Schug
- Jana Schuller
- Lena Carrere Schulte
- Madison Schulte
- Hanna Margaret Schultz
All providers in Raleigh, NC · Certified Registered Nurse Anesthetist in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 19, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.