Mr Ross Alan Nickoley, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Ennis, TX

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Mr Ross Alan Nickoley, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Ennis, Texas. He graduated from nursing school in 1999 and has 27 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice Sweet Dreams Anesthesia Inc, Sda Consultants Pllc, Gastroenterology Center Of The Midsouth Pllc, Clinical Colleagues Inc and his current practice location is 2201 West Lampasasas St, Ennis Regional Medical Center, Ennis, Texas. You can reach out to his office (for appointments etc.) via phone at (972) 875-0900.

Mr Ross Alan Nickoley is licensed to practice in Missouri (license number 2006005130) and he also participates in the medicare program. He may accept medicare assignments (which means he may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and his NPI Number is 1992748263.

Contact Information

Mr Ross Alan Nickoley, CRNA
2201 West Lampasasas St, Ennis Regional Medical Center,
Ennis, TX 75119
(972) 875-0900
(469) 256-2459

Map and Direction




Provider's Profile

Full NameMr Ross Alan Nickoley
GenderMale
SpecialityCertified Registered Nurse Anesthetist (crna)
Experience27 Years
Location2201 West Lampasasas St, Ennis, Texas
Accepts Medicare AssignmentsMay be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Mr Ross Alan Nickoley graduated from nursing school in 1999
  NPI Data:
  • NPI Number: 1992748263
  • Provider Enumeration Date: 06/14/2006
  • Last Update Date: 04/11/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 0648255257
  • Enrollment ID: I20220503001777

Medical Identifiers

Medical identifiers for Mr Ross Alan Nickoley such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1992748263NPI-NPPES
2006005130OtherMOMO LICENSE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367500000XNurse Anesthetist, Certified Registered 17715 (Tennessee)Secondary
367500000XNurse Anesthetist, Certified Registered 2006005130 (Missouri)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Trinity - Rock IslandRock island, ILHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Sweet Dreams Anesthesia Inc004247770564
Sda Consultants Pllc387082591231
Gastroenterology Center Of The Midsouth Pllc4880619824155
Clinical Colleagues Inc8729011333148

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 Ross Alan Nickoley allows following entities to bill medicare on his behalf.
Entity NameGastroenterology Center Of The Midsouth Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1417932492
PECOS PAC ID: 4880619824
Enrollment ID: O20060201000753
Entity NameSweet Dreams Anesthesia Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1508133497
PECOS PAC ID: 0042477705
Enrollment ID: O20120208000105
Entity NameWatson Anesthesia Group Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1548513278
PECOS PAC ID: 8123270154
Enrollment ID: O20121220000150
Entity NameSda Consultants Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1336605500
PECOS PAC ID: 3870825912
Enrollment ID: O20220421002076

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 Ross Alan Nickoley 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 Ross Alan Nickoley, CRNA
12492 Audran Rd 9931,
Mexico, MO 65265

Ph: (573) 590-4046		Mr Ross Alan Nickoley, CRNA
2201 West Lampasasas St, Ennis Regional Medical Center,
Ennis, TX 75119

Ph: (972) 875-0900

Reviews and Comments


Nurse Anesthetist, Certified Registered Nurses in Ennis, TX

Mr. Matthew Garrett Cooper, CRNA
Nurse Anesthetist - CR
Medicare: Medicare Enrolled
Practice Location: 2201 W. Lampasas Street, Ennis, TX 75119
Phone: 972-875-0900    Fax: 469-256-2163
Roger A Frost, CRNA
Nurse Anesthetist - CR
Medicare: Not Enrolled in Medicare
Practice Location: 803 W Lampasas St, Ennis, TX 75119
Phone: 972-875-0900    
Mr. Bryan K Daniels, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 2201 W Lampasas St, Ennis, TX 75119
Phone: 972-875-0900    

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.