Mr Brock Victor Nyquist, CRNA, MSN - Medicare Certified Registered Nurse Anesthetist (crna) in Santa Ana, CA

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Mr Brock Victor Nyquist, CRNA, MSN is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Santa Ana, California. He graduated from nursing school in 2003 and has 23 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice Coachella Valley Anesthesia A Professional Corporation and his current practice location is 902 N Grand Ave, Santa Ana, California. You can reach out to his office (for appointments etc.) via phone at (562) 544-8804.

Mr Brock Victor Nyquist is licensed to practice in California (license number 3079) 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 1134218969.

Contact Information

Mr Brock Victor Nyquist, CRNA, MSN
902 N Grand Ave,
Santa Ana, CA 92701-4218
(562) 544-8804
Not Available

Map and Direction




Provider's Profile

Full NameMr Brock Victor Nyquist
GenderMale
SpecialityCertified Registered Nurse Anesthetist (crna)
Experience23 Years
Location902 N Grand Ave, Santa Ana, California
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:
  • Mr Brock Victor Nyquist graduated from nursing school in 2003
  NPI Data:
  • NPI Number: 1134218969
  • Provider Enumeration Date: 10/12/2006
  • Last Update Date: 10/01/2010
  Medicare PECOS Information:
  • PECOS PAC ID: 0143110759
  • Enrollment ID: I20040317001312

Medical Identifiers

Medical identifiers for Mr Brock Victor Nyquist such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1134218969NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367500000XNurse Anesthetist, Certified Registered 489087 (California)Secondary
367500000XNurse Anesthetist, Certified Registered 3079 (California)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
John F Kennedy Memorial HospitalIndio, CAHospital
Desert Regional Medical CenterPalm springs, CAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Coachella Valley Anesthesia A Professional Corporation5698131969107

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. Mr Brock Victor Nyquist allows following entities to bill medicare on his behalf.
Entity NameCp Nursing Anesthesia Services Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1316185614
PECOS PAC ID: 8123182581
Enrollment ID: O20090129000338
Entity NamePalm Springs Anesthesia Services Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1083928501
PECOS PAC ID: 6406049592
Enrollment ID: O20101021000600
Entity NameCoachella Valley Anesthesia A Professional Corporation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1013662048
PECOS PAC ID: 5698131969
Enrollment ID: O20230512000330

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. Mr Brock Victor Nyquist 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
Mr Brock Victor Nyquist, CRNA, MSN
5701 E 2nd St, #8,
Long Beach, CA 90803-5072

Ph: (562) 439-1609		Mr Brock Victor Nyquist, CRNA, MSN
902 N Grand Ave,
Santa Ana, CA 92701-4218

Ph: (562) 544-8804

Reviews and Comments


Nurse Anesthetist, Certified Registered Nurses in Santa Ana, CA

Mr. Michael Anthony Gonzales, CRNA, BSN
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 811 S Maxine St, Santa Ana, CA 92704
Phone: 714-724-5035    
Gustavo Gutierrez, CRNA
Nurse Anesthetist - CR
Medicare: Medicare Enrolled
Practice Location: 902 N Grand Ave Ste 100, Santa Ana, CA 92701
Phone: 310-386-6718    
Kelly Elizabeth Ricker, CRNA
Nurse Anesthetist - CR
Medicare: Medicare Enrolled
Practice Location: 2502 N Spurgeon St, Santa Ana, CA 92706
Phone: 714-742-0365    
Mrs. Jaine Katharine Hoopes Chapman, CRNA
Nurse Anesthetist - CR
Medicare: Medicare Enrolled
Practice Location: 2534 N Spurgeon St, Santa Ana, CA 92706
Phone: 619-991-0915    

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.