Jennifer Nickerson, CRNA - Medicare Nurse Anesthetist, Certified Registered in Philadelphia, PA

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Jennifer Nickerson, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Philadelphia, Pennsylvania. Her current practice location is 3401 N Broad St, Philadelphia, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at (215) 707-3326.

Jennifer Nickerson is licensed to practice in Ohio (license number 272040) 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 1891794772.

Contact Information

Jennifer Nickerson, CRNA
3401 N Broad St,
Philadelphia, PA 19140-5103
(215) 707-3326
(215) 707-8028

Map and Direction




Provider's Profile

Full NameJennifer Nickerson
GenderFemale
SpecialityNurse Anesthetist, Certified Registered
Location3401 N Broad St, Philadelphia, Pennsylvania
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1891794772
  • Provider Enumeration Date: 07/21/2005
  • Last Update Date: 02/18/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 8729224027
  • Enrollment ID: I20130410000605

Medical Identifiers

Medical identifiers for Jennifer Nickerson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1891794772NPI-NPPES
200461980MedicaidIN
2340005MedicaidOH

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367500000XNurse Anesthetist, Certified Registered 272040 (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. Jennifer Nickerson allows following entities to bill medicare on her behalf.
Entity NameAnesthesia Associates Of Cincinnati, Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1316945173
PECOS PAC ID: 4789598509
Enrollment ID: O20031117000374
Entity NameSouthwest Ohio Anesthesia Consultants Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1588645188
PECOS PAC ID: 6901700640
Enrollment ID: O20031124000399
Entity NameGi Anesthesia, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1730332610
PECOS PAC ID: 6002971553
Enrollment ID: O20090217000157
Entity NameOgi Anesthesia, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1962776807
PECOS PAC ID: 8224290598
Enrollment ID: O20120502000531
Entity NameAmsurg Cincinnati Anesthesia Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1053713743
PECOS PAC ID: 1759605777
Enrollment ID: O20150122002309
Entity NameCgi Anesthesia Associates Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1174914352
PECOS PAC ID: 0840518411
Enrollment ID: O20150410000268

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. Jennifer Nickerson 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
Jennifer Nickerson, CRNA
11490 Springfield Pike,
Cincinnati, OH 45246-3524

Ph: (513) 672-3309		Jennifer Nickerson, CRNA
3401 N Broad St,
Philadelphia, PA 19140-5103

Ph: (215) 707-3326

Reviews and Comments


Nurse Anesthetist, Certified Registered Nurses in Philadelphia, PA

Victor Abarca, CRNA
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Practice Location: 5800 Ridge Ave., Philadelphia, PA 19128
Phone: 251-483-9900    
Rosabelle Mccullough, CRNA
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Practice Location: 3400 Spruce St, Dulles Bldg, Ste 680, Philadelphia, PA 19104
Phone: 215-349-8310    
Heather Moore, RN
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Donna Simmers, CRNA
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Practice Location: 2301 E Allegheny Ave, Philadelphia, PA 19134
Phone: 215-291-3000    
Catrina Jones, CRNA
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Practice Location: 800 Spruce St, Philadelphia, PA 19107
Phone: 215-829-5664    
Veronica Mooney, CRNA
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Practice Location: 101 E Olney Ave, Suite 400, Philadelphia, PA 19120
Phone: 215-456-7000    Fax: 215-254-2599
Lauren Bruce, CRNA
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Medicare: Accepting Medicare Assignments
Practice Location: 101 E Olney Ave, Suite 400, Philadelphia, PA 19120
Phone: 215-456-7000    Fax: 215-254-2599

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.