Ross Alan Nickoley, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

17715 Issued in TN

Practice address

2201 West Lampasasas St
Ennis Regional Medical Center
Ennis, TX 75119

Phone

(972) 875-0900

Fax

(469) 256-2459

NPI assigned

Jun 14, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in VA, IN, TN, IL, AZ5 enrollments

Enrollment records 5

Specialty

Certified Registered Nurse Anesthetist (Crna)

Education

Other, 1999

Medicare assignment

May accept Medicare assignment

Group practices

Sda Consultants PLLCGroup PAC ID 3870825912, 76 clinicians

Clinical Colleagues IncGroup PAC ID 8729011333, 170 clinicians

Antigua Anesthesia Management, LLCGroup PAC ID 3870908676, 39 clinicians

Sweet Dreams Anesthesia IncGroup PAC ID 0042477705, 84 clinicians

Gastroenterology Center of the Midsouth PLLCGroup PAC ID 4880619824, 148 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Trinity Rock Island Hospital, Rock Island, IL, CCN 140280

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: rnickoley931630@direct.unitypoint.org

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.

• Antigua Anesthesia Management, LLC

  • Anesthesiology Physician
  • Bullhead City, AZ
  • NPI 1912502055
  Medicare reassignment Care Compare group NPD
• Clinical Colleagues Inc

  • Anesthesiology Physician
  • Galesburg, IL
  • NPI 1316399967

  Nurse Anesthetist, Certified Registered

  Medicare reassignment Care Compare group NPD
• Gastroenterology Center of the Midsouth PLLC

  • Gastroenterology Physician
  • Germantown, TN
  • NPI 1417932492

  Nurse Anesthetist, Certified Registered

  Medicare reassignment Care Compare group NPD
• Sda Consultants PLLC

  • Anesthesiology Physician
  • Elkhart, IN
  • NPI 1336605500

  Nurse Anesthetist, Certified Registered, TN

  Medicare reassignment Care Compare group NPD
• Sweet Dreams Anesthesia Inc

  • Certified Registered Nurse Anesthetist
  • Chattanooga, TN
  • NPI 1508133497

  Nurse Anesthetist, Certified Registered

  Medicare reassignment Care Compare group NPD
• Ams Northern Indiana LLC

  • Anesthesiology Physician
  • Pensacola, FL
  • NPI 1427619840

  IN, Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Great Lakes Anesthesia, P.C.

  • Anesthesiology Physician
  • Elkhart, IN
  • NPI 1720039977

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Iceland Anesthesia Management, LLC

  • Anesthesiology Physician
  • Terre Haute, IN
  • NPI 1912578667

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Watson Anesthesia Group PLLC

  • Certified Registered Nurse Anesthetist
  • Dayton, TN
  • NPI 1548513278

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Danville Gastroenterology Center, PC

  • Gastroenterology Physician
  • Danville, VA
  • NPI 1689718736
  Medicare reassignment
• G I Diagnostic and Therapeutic Center LLC

  • Endoscopy Clinic/Center
  • Germantown, TN
  • NPI 1760467732
  NPD
• St Luke'S Methodist Hospital

  • General Acute Care Hospital
  • Cedar Rapids, IA
  • NPI 1083708226
  NPD

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

• Trinity Medical Center

  • General Acute Care Hospital
  • Rock Island, IL
  • NPI 1316047632
  Care Compare affiliation

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

{
    "created_epoch": "1150243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770681600000",
    "number": "1992748263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12492 AUDRAIN ROAD 9931",
            "city": "MEXICO",
            "state": "MO",
            "postal_code": "652657231",
            "telephone_number": "573-590-4046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2201 WEST LAMPASASAS ST",
            "address_2": "ENNIS REGIONAL MEDICAL CENTER",
            "city": "ENNIS",
            "state": "TX",
            "postal_code": "75119",
            "telephone_number": "972-875-0900",
            "fax_number": "469-256-2459"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8000 Wolf River Blvd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Germantown",
            "state": "TN",
            "postal_code": "381381755",
            "country_code": "US",
            "telephone_number": "901-747-3630",
            "fax_number": "901-747-4149",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NICKOLEY",
        "first_name": "ROSS",
        "middle_name": "ALAN",
        "name_prefix": "Mr.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-14",
        "last_updated": "2026-02-10",
        "certification_date": "2026-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "IL",
            "license": "209026286",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TN",
            "license": "17715",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q073460",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cynthia Marilu Munoz, PHARM TECH
• N Kopman DO PA
• Courtney Camille Nash, PTA
• Nguyen & Ho Real Estate Company LLC
• CHI-Dung John Nguyen, PHARM.D.
• Carol Jean Noel, PT
• Norma J Fuelberth MD
• Nortex Anesthesia, PLLC
• North Texas Health Alliance, LLC
• Jerry Northcutt, O.D.

• Certified Registered Nurse Anesthetist in Ennis, TX
• Providers in Ennis, TX by specialty
• Certified Registered Nurse Anesthetist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 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.