Alvin Kirk Nichols, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Salt Lake City, UT

  1. Home
  2. Nurse Anesthetist - CR
  3. UT
  4. Salt Lake City
Alvin Kirk Nichols, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Salt Lake City, Utah. He graduated from nursing school in 2002 and has 23 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice Ogden Clinic Specialty Services Llc, Nph Anesthesia Of Utah Llc and his current practice location is 1954 Fort Union Blvd, Ste 114, Salt Lake City, Utah. You can reach out to his office (for appointments etc.) via phone at (800) 594-5736.

Alvin Kirk Nichols is licensed to practice in Utah (license number 3319524406) 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 1548366347.

Contact Information

Alvin Kirk Nichols, CRNA
1954 Fort Union Blvd, Ste 114,
Salt Lake City, UT 84121-6899
(800) 594-5736
Not Available

Map and Direction




Provider's Profile

Full NameAlvin Kirk Nichols
GenderMale
SpecialityCertified Registered Nurse Anesthetist (crna)
Experience23 Years
Location1954 Fort Union Blvd, Salt Lake City, Utah
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:
  • Alvin Kirk Nichols graduated from nursing school in 2002
  NPI Data:
  • NPI Number: 1548366347
  • Provider Enumeration Date: 09/16/2006
  • Last Update Date: 09/06/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 5890755300
  • Enrollment ID: I20041018001142

Medical Identifiers

Medical identifiers for Alvin Kirk Nichols such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1548366347NPI-NPPES
16311OtherUTHEALTHY U
33195244000001OtherUTBCBS
68308OtherUTPEHP
190683600OtherUTUS DEPT OF LABOR
740685OtherUTDESERET MUTUAL
PRA07054OtherUTMOLINA
870666269NICOtherUTEDUCATORS MUTUAL
107011533101OtherUTIHC
QM0000054865OtherUTALTIUS

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367500000XNurse Anesthetist, Certified Registered 3319524406 (Utah)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Ogden Regional Medical CenterOgden, UTHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Ogden Clinic Specialty Services Llc1658781422118
Nph Anesthesia Of Utah Llc953758431386

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. Alvin Kirk Nichols allows following entities to bill medicare on his behalf.
Entity NameTanner Memorial Clinic
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1447239355
PECOS PAC ID: 4284547985
Enrollment ID: O20031110000132
Entity NameMountain West Anesthesia Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1558391763
PECOS PAC ID: 9032018502
Enrollment ID: O20040103000057
Entity NameMountain View Anesthesia Lc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1043249840
PECOS PAC ID: 5991604829
Enrollment ID: O20040108000626
Entity NameUtah Gastroenterology Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1871689562
PECOS PAC ID: 9830174150
Enrollment ID: O20040621001991
Entity NameMt Ogden Anesthesia Group Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1770999807
PECOS PAC ID: 4587976436
Enrollment ID: O20150706002685
Entity NameNph Anesthesia Of Utah Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1366077273
PECOS PAC ID: 9537584313
Enrollment ID: O20200811001268
Entity NameOgden Clinic Specialty Services Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1114203668
PECOS PAC ID: 1658781422
Enrollment ID: O20201105001806
Entity NameSouth Towne Anesthesia Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1457061533
PECOS PAC ID: 3870958176
Enrollment ID: O20230419003080

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. Alvin Kirk Nichols 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
Alvin Kirk Nichols, CRNA
1954 Fort Union Blvd, Ste 114,
Salt Lake City, UT 84121-6899

Ph: (800) 594-5736		Alvin Kirk Nichols, CRNA
1954 Fort Union Blvd, Ste 114,
Salt Lake City, UT 84121-6899

Ph: (800) 594-5736

Reviews and Comments


Nurse Anesthetist, Certified Registered Nurses in Salt Lake City, UT

Matthew S Adams, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 1954 Fort Union Blvd Ste 114, Salt Lake City, UT 84121
Phone: 800-594-5736    
William R Smith, CRNA
Nurse Anesthetist - CR
Medicare: Medicare Enrolled
Practice Location: 3838 S 700 E, Suite 200, Salt Lake City, UT 84106
Phone: 801-261-4988    Fax: 801-269-9427
Lauren L Roser, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 8th Avenue C Street, Salt Lake City, UT 84143
Phone: 801-727-2056    Fax: 770-701-6675
Mr. Craig E Parker, CRNA
Nurse Anesthetist - CR
Medicare: Not Enrolled in Medicare
Practice Location: 65 N Medical Dr, Surgery Department, Salt Lake City, UT 84132
Phone: 801-581-3195    
Robert Edison Steele, RN, BSN
Nurse Anesthetist - CR
Medicare: Medicare Enrolled
Practice Location: 500 Foothill Blvd, Salt Lake City, UT 84148
Phone: 801-792-5809    
Roger Sausedo, CRNA
Nurse Anesthetist - CR
Medicare: Not Enrolled in Medicare
Practice Location: 3838 S 700 E, Suite 200, Salt Lake City, UT 84106
Phone: 801-261-4988    Fax: 801-269-9427
Laura Marie Hertzel, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 1050 E South Temple, Salt Lake City, UT 84102
Phone: 913-707-4773    

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.