David Nicholson, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Ketchum, ID

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David Nicholson, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Ketchum, Idaho. He graduated from nursing school in 1997 and has 29 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice St Lukes Clinic - Wood River Llc, Anesthesia Associates Of New Mexico P C and his current practice location is 100 Hospital Dr, Ketchum, Idaho. You can reach out to his office (for appointments etc.) via phone at (208) 727-8800.

David Nicholson is licensed to practice in Idaho (license number 59928) 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 1912985755.

Contact Information

David Nicholson, CRNA
100 Hospital Dr,
Ketchum, ID 83340
(208) 727-8800
(208) 727-8124

Map and Direction




Provider's Profile

Full NameDavid Nicholson
GenderMale
SpecialityCertified Registered Nurse Anesthetist (crna)
Experience29 Years
Location100 Hospital Dr, Ketchum, Idaho
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:
  • David Nicholson graduated from nursing school in 1997
  NPI Data:
  • NPI Number: 1912985755
  • Provider Enumeration Date: 01/03/2006
  • Last Update Date: 03/15/2026
  Medicare PECOS Information:
  • PECOS PAC ID: 9133170368
  • Enrollment ID: I20200807002432

Medical Identifiers

Medical identifiers for David Nicholson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1912985755NPI-NPPES
18100244MedicaidNM

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367500000XNurse Anesthetist, Certified Registered CRNA00752 (New Mexico)Secondary
367500000XNurse Anesthetist, Certified Registered NA95000124 (California)Secondary
367500000XNurse Anesthetist, Certified Registered 59928 (Idaho)Primary
367500000XNurse Anesthetist, Certified Registered R48739 (New Mexico)Secondary

Medical Facilities Affiliation

Facility NameLocationFacility Type
St Luke's Wood River Medical CenterKetchum, IDHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
St Lukes Clinic - Wood River Llc317378381867
Anesthesia Associates Of New Mexico P C438553656463

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. David Nicholson allows following entities to bill medicare on his behalf.
Entity NameBoise Anesthesia, P A
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1487602298
PECOS PAC ID: 8426960642
Enrollment ID: O20031105000132
Entity NameAnesthesia Associates Of Boise, P.a.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1033147467
PECOS PAC ID: 2668385287
Enrollment ID: O20031110000655
Entity NameSt Alphonsus Professional Medical Services Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1386677524
PECOS PAC ID: 7214849751
Enrollment ID: O20040205001184
Entity NameOverton/stiff Professional Anesthesia Service Ltd
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1417065152
PECOS PAC ID: 6901793975
Enrollment ID: O20040507001312
Entity NameSt Lukes Clinic-treasure Valley Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1326336058
PECOS PAC ID: 4981878402
Enrollment ID: O20111119000045
Entity NameSt Lukes Clinic - Wood River Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1972891604
PECOS PAC ID: 3173783818
Enrollment ID: O20120404000474

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. David Nicholson 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
David Nicholson, CRNA
7154 W State St Ste 119,
Boise, ID 83714-7421

Ph: (505) 280-0657		David Nicholson, CRNA
100 Hospital Dr,
Ketchum, ID 83340

Ph: (208) 727-8800

Reviews and Comments


Nurse Anesthetist, Certified Registered Nurses in Ketchum, ID

James Cleveland, CRNA
Nurse Anesthetist - CR
Medicare: Not Enrolled in Medicare
Practice Location: 100 Hospital Dr, Ketchum, ID 83340
Phone: 208-727-8800    
John Driscoll, CRNA
Nurse Anesthetist - CR
Medicare: Not Enrolled in Medicare
Practice Location: 100 Hospital Dr, Ketchum, ID 83340
Phone: 208-727-8334    

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.