Johnathan Tyler Nicholls, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Scottsdale, AZ

Johnathan Tyler Nicholls, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Scottsdale, Arizona. He graduated from nursing school in 2017 and has 7 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice Anesthesia Partners And Management Llc and his current practice location is 8424 E Shea Blvd Ste 101, Scottsdale, Arizona. You can reach out to his office (for appointments etc.) via phone at (480) 256-1520.

Johnathan Tyler Nicholls is licensed to practice in Arizona (license number 1494) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1639684699.

Contact Information

Johnathan Tyler Nicholls, CRNA
8424 E Shea Blvd Ste 101,
Scottsdale, AZ 85260
(480) 256-1520
(480) 478-6628

Map and Direction




Provider's Profile

Full NameJohnathan Tyler Nicholls
GenderMale
SpecialityCertified Registered Nurse Anesthetist (crna)
Experience7 Years
Location8424 E Shea Blvd Ste 101, Scottsdale, Arizona
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Johnathan Tyler Nicholls graduated from nursing school in 2017
  NPI Data:
  • NPI Number: 1639684699
  • Provider Enumeration Date: 12/12/2017
  • Last Update Date: 07/10/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 1254693203
  • Enrollment ID: I20180403000563

Medical Identifiers

Medical identifiers for Johnathan Tyler Nicholls such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1639684699NPI-NPPES
390207MedicaidAZ

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163W00000XRegistered Nurse 6566569-3102 (Utah)Secondary
367500000XNurse Anesthetist, Certified Registered 1494 (Arizona)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Arrowhead HospitalGlendale, AZHospital
Banner - University Medical Center PhoenixPhoenix, AZHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Anesthesia Partners And Management Llc9931429198129

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Johnathan Tyler Nicholls allows following entities to bill medicare on his behalf.
Entity NameAnesthesia Partners & Management Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1336530997
PECOS PAC ID: 9931429198
Enrollment ID: O20150529000706
Entity NameAnesthesia Partners Of Arizona Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1619452901
PECOS PAC ID: 8628317179
Enrollment ID: O20190228001927

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Johnathan Tyler Nicholls is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Johnathan Tyler Nicholls, CRNA
9424 W Eaton Rd,
Phoenix, AZ 85037-4274

Ph: (801) 808-2672
Johnathan Tyler Nicholls, CRNA
8424 E Shea Blvd Ste 101,
Scottsdale, AZ 85260

Ph: (480) 256-1520

Reviews and Comments


Nurse Anesthetist, Certified Registered Nurses in Scottsdale, AZ

Gina Munson, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 13400 E Shea Blvd, Scottsdale, AZ 85259
Phone: 480-301-8000    
Michael Moskowitz, C.R.N.A.
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 13400 E Shea Blvd, Scottsdale, AZ 85259
Phone: 480-301-8000    
Christopher David Hess, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 13400 E Shea Blvd, Scottsdale, AZ 85259
Phone: 480-301-8000    
Edna Kemboi, DNAP CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 13400 E Shea Blvd, Scottsdale, AZ 85259
Phone: 480-301-8000    Fax: 904-953-0115
Gertrude F Neill, CRNA
Nurse Anesthetist - CR
Medicare: Not Enrolled in Medicare
Practice Location: 6906 E Exeter Blvd, Scottsdale, AZ 85251
Phone: 239-000-0000    
John Paul Moyle, DNP, CRNA, APRN
Nurse Anesthetist - CR
Medicare: Medicare Enrolled
Practice Location: 13400 E Shea Blvd, Scottsdale, AZ 85259
Phone: 480-301-8000    
Cade James Scanlon, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 13400 E Shea Blvd, Scottsdale, AZ 85259
Phone: 480-301-8000    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.