MR. ROSS ALAN NICKOLEY CRNA NPI 1992748263

NPI Information

  • NPI: 1992748263
  • Provider Name: MR. ROSS ALAN NICKOLEY, CRNA
  • Classification: Nurse Anesthetist, Certified Registered - 367500000X
  • Entity Type: Individual
  • Address: 2201 WEST LAMPASASAS ST
    ENNIS REGIONAL MEDICAL CENTER
    ENNIS, TX
    ZIP 75119
  • Phone: (972) 875-0900

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NPI Details

MR. Ross Alan Nickoley, CRNA is a nurse anesthetist certified registered in Ennis, TX with 27 years of experience. The provider is (1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition. MR. Ross Alan Nickoley, CRNA NPI is 1992748263. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2201 WEST LAMPASASAS ST
ENNIS REGIONAL MEDICAL CENTER
ENNIS, TX
ZIP 75119
Phone: (972) 875-0900
Fax: (469) 256-2459

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Anesthesia for lens surgery (HCPCS:00142)
  • Anesthesia for other procedure on large bowel using an endoscope (HCPCS:00811)
  • Anesthesia for exam of colon using an endoscope (HCPCS:00812)
  • Anesthesia for other procedure on upper abdomen (HCPCS:00790)
  • Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope (HCPCS:00731)

The enumeration date for this NPI number is 6/14/2006 and was last updated on 4/11/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1367500000XNurse Anesthetist, Certified Registered17715TENNESSEENo
2367500000XNurse Anesthetist, Certified Registered2006005130MISSOURIYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
12006005130OTHERMISSOURIMO LICENSE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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