| Kate Nichelle Nicholson, CRNA | |
|
1825 Logan Ave, Waterloo, IA 50703-1916 | |
| (319) 235-5386 | |
| (319) 235-3074 |
| Full Name | Kate Nichelle Nicholson |
|---|---|
| Gender | Female |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 11 Years |
| Location | 1825 Logan Ave, Waterloo, Iowa |
| 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 |
|---|---|---|---|
| 1487041125 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | D117593 (Iowa) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Mercyone Des Moines Medical Center | Des moines, IA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Medical Center Anesthesiologists, P.c. | 4082527270 | 65 |
| Entity Name | Medical Center Anesthesiologists, P.c. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073552428 PECOS PAC ID: 4082527270 Enrollment ID: O20031112000714 |
| Mailing Address | Practice Location Address |
|---|---|
| Kate Nichelle Nicholson, CRNA 411 Laurel St, Ste 3170, Des Moines, IA 50314-3005 Ph: (515) 283-0463 | Kate Nichelle Nicholson, CRNA 1825 Logan Ave, Waterloo, IA 50703-1916 Ph: (319) 235-5386 |
Kathryn E Soeder, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1825 Logan Ave, Waterloo, IA 50703 Phone: 319-235-5390 | |
Savannah Meredith Wiltfang, DNAP, CRNA Nurse Anesthetist - CR Medicare: May Accept Medicare Assignments Practice Location: 1015 S Hackett Rd Ste B, Waterloo, IA 50701 Phone: 319-234-5990 Fax: 319-234-5994 | |
Mrs. Sara Elizabeth Yoder, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 1825 Logan Ave, Waterloo, IA 50703 Phone: 319-235-5386 Fax: 319-235-3074 | |
Scott Robert Doyle, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 1015 S Hackett Rd Ste B, Waterloo, IA 50701 Phone: 319-406-5990 Fax: 319-234-5994 | |
Lance A Lalonde, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1825 Logan Ave, Waterloo, IA 50703 Phone: 319-235-5390 | |
Kathryn Ann Ogburn, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1825 Logan Ave, Waterloo, IA 50703 Phone: 319-235-5386 Fax: 319-235-3074 |