Brenda Nichols-omiecinski, CRNA - Medicare Nurse Anesthetist, Certified Registered in Chardon, OH

  1. Home
  2. Nurse Anesthetist - CR
  3. OH
  4. Chardon
Brenda Nichols-omiecinski, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Chardon, Ohio. Her current practice location is 13207 Ravenna Rd, Chardon, Ohio. You can reach out to her office (for appointments etc.) via phone at (440) 285-6000.

Brenda Nichols-omiecinski is licensed to practice in Ohio (license number RN166962) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1780637041.

Contact Information

Brenda Nichols-omiecinski, CRNA
13207 Ravenna Rd,
Chardon, OH 44024-7032
(440) 285-6000
Not Available

Map and Direction




Provider's Profile

Full NameBrenda Nichols-omiecinski
GenderFemale
SpecialityNurse Anesthetist, Certified Registered
Location13207 Ravenna Rd, Chardon, Ohio
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1780637041
  • Provider Enumeration Date: 05/18/2006
  • Last Update Date: 01/10/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 0143324509
  • Enrollment ID: I20070326000137

Medical Identifiers

Medical identifiers for Brenda Nichols-omiecinski such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1780637041NPI-NPPES
000000516002OtherOHANTHEM
750937OtherOHBUCKEYE MEDICAID
P00403006OtherOHMEDICARE RAILROAD
7516119OtherOHAETNA
000000221285OtherOHUNISON
0583328OtherOHBCMH
2389339MedicaidOH
415014OtherOHWELLCARE MEDICAID

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163W00000XRegistered Nurse RN166962 (Ohio)Secondary
367500000XNurse Anesthetist, Certified Registered RN166962 (Ohio)Primary

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. Brenda Nichols-omiecinski allows following entities to bill medicare on her behalf.
Entity NameUniversity Hospitals Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1669499414
PECOS PAC ID: 4789682493
Enrollment ID: O20061113000301
Entity NameLake Erie Sedation Associates, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1265927594
PECOS PAC ID: 0840536819
Enrollment ID: O20190111001533
Entity NameAnesthesia Dynamics Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1073001012
PECOS PAC ID: 3779832530
Enrollment ID: O20201013000268

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. Brenda Nichols-omiecinski 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
Brenda Nichols-omiecinski, CRNA
Po Box 526,
Novelty, OH 44072-0526

Ph: (440) 285-6000		Brenda Nichols-omiecinski, CRNA
13207 Ravenna Rd,
Chardon, OH 44024-7032

Ph: (440) 285-6000

Reviews and Comments


Nurse Anesthetist, Certified Registered Nurses in Chardon, OH

Kent Hardesty, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 131 Chardon Ave, Chardon, OH 44024
Phone: 440-725-7406    
Ms. Deanna Louise Love, C.R.N.A.
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 13207 Ravenna Rd, Geauga Hospital, Chardon, OH 44024
Phone: 440-285-8000    
Mr. George Kuper, C.R.N.A.
Nurse Anesthetist - CR
Medicare: Not Enrolled in Medicare
Practice Location: 13207 Ravenna Rd, Geauga Hospital, Chardon, OH 44024
Phone: 440-285-6000    
Joshua Mark Fegan, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 13207 Ravenna Rd, Chardon, OH 44024
Phone: 440-285-6000    
Chad William Crouch, CRNA, MSN
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 13207 Ravenna Rd, Chardon, OH 44024
Phone: 440-285-6000    
Heidi F. Baldwin, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 150 Seventh Ave, Chardon, OH 44024
Phone: 440-285-2900    Fax: 440-286-2905
Mr. John Altier, C.R.N.A.
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 13207 Ravenna Rd, Geauga Hospital, Chardon, OH 44024
Phone: 440-285-6000    

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.