| Amy M Nielsen, CRNA | |
|
3209 S 23rd St Ste 340, Tacoma, WA 98405 | |
| (253) 272-5127 | |
| Not Available |
| Full Name | Amy M Nielsen |
|---|---|
| Gender | Female |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 33 Years |
| Location | 3209 S 23rd St Ste 340, Tacoma, Washington |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760430151 | NPI | - | NPPES |
| G8912172 | Other | WA | MDCR PTAN (P) |
| G8894620 | Other | WA | MDCR PTAN (K) |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | AP30007085 (Washington) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Arbor Health Morton Hospital | Morton, WA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Lewis County Hospital District No 1 | 6002727385 | 26 |
| Evergreen Anesthesia Associates Llc | 7113284530 | 23 |
| Entity Name | Prosser Public Hospital District Of Benton County |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1306897681 PECOS PAC ID: 6709787872 Enrollment ID: O20040120000974 |
| Entity Name | Lewis County Hospital District No 1 |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1205882909 PECOS PAC ID: 6002727385 Enrollment ID: O20040121000814 |
| Entity Name | Lewis County Hospital District No 1 |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1154361814 PECOS PAC ID: 6002727385 Enrollment ID: O20061104000189 |
| Entity Name | Evergreen Anesthesia Associates Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1225575996 PECOS PAC ID: 7113284530 Enrollment ID: O20171120002054 |
| Mailing Address | Practice Location Address |
|---|---|
| Amy M Nielsen, CRNA 2420 S Union Ave Ste 200, Tacoma, WA 98405-1323 Ph: () - | Amy M Nielsen, CRNA 3209 S 23rd St Ste 340, Tacoma, WA 98405 Ph: (253) 272-5127 |
Michael John Means, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 9040 Jackson Ave, Tacoma, WA 98431 Phone: 253-968-2235 | |
Mr. Andrew J Irizarry, DNP, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 9040 Jackson Ave, Tacoma, WA 98431 Phone: 330-509-3934 | |
Matthew Libid, CRNA Nurse Anesthetist - CR Medicare: May Accept Medicare Assignments Practice Location: 9040 Jackson Ave, Tacoma, WA 98431 Phone: 203-768-5053 | |
Mrs. Elizabeth Katherine Mary Pulatie, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 9040 A Reid St, Tacoma, WA 98431 Phone: 253-968-1110 | |
Ms. Lisa Ann Petty, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 9040 Jackson Ave, Tacoma, WA 98431 Phone: 253-968-2252 Fax: 253-968-3278 | |
Mr. Andrey Bobrovnikov, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1717 S J St, Tacoma, WA 98405 Phone: 253-426-6341 Fax: 253-426-6344 | |
Craig Andrew Swank, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3209 S 23rd St, Suite 340, Tacoma, WA 98405 Phone: 253-503-2598 Fax: 253-404-0506 |