Ms Nichole Cuddeback, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Sandy, UT

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Ms Nichole Cuddeback, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Sandy, Utah. She went to Georgetown University School Of Medicine and graduated in 2009 and has 15 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). She is a member of the group practice South Towne Anesthesia Llc, Utah Anesthesia, Llc and her current practice location is 9660 S 1300 E, Sandy, Utah. You can reach out to her office (for appointments etc.) via phone at (801) 727-2056.

Ms Nichole Cuddeback is licensed to practice in Utah (license number 3094717-4406) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1124350137.

Contact Information

Ms Nichole Cuddeback, CRNA
9660 S 1300 E,
Sandy, UT 84094-3762
(801) 727-2056
(770) 701-6675

Map and Direction




Provider's Profile

Full NameMs Nichole Cuddeback
GenderFemale
SpecialityCertified Registered Nurse Anesthetist (crna)
Experience15 Years
Location9660 S 1300 E, Sandy, Utah
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Ms Nichole Cuddeback attended and graduated from Georgetown University School Of Medicine in 2009
  NPI Data:
  • NPI Number: 1124350137
  • Provider Enumeration Date: 02/02/2010
  • Last Update Date: 03/21/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 9830227743
  • Enrollment ID: I20161014001154

Medical Identifiers

Medical identifiers for Ms Nichole Cuddeback such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1124350137NPI-NPPES
1124350137MedicaidVA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367500000XNurse Anesthetist, Certified Registered 0024168646 (Virginia)Secondary
367500000XNurse Anesthetist, Certified Registered 3094717-4406 (Utah)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
South Towne Anesthesia Llc38709581768
Utah Anesthesia, Llc448699386213

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. Ms Nichole Cuddeback allows following entities to bill medicare on her behalf.
Entity NameMountain West Anesthesia Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1558391763
PECOS PAC ID: 9032018502
Enrollment ID: O20040103000057
Entity NameMountain View Anesthesia Lc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1043249840
PECOS PAC ID: 5991604829
Enrollment ID: O20040108000626
Entity NameRocky Mountain Anesthesiology Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1487683215
PECOS PAC ID: 6305809492
Enrollment ID: O20041109001170
Entity NameWestern Anesthesia Associates Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1174566277
PECOS PAC ID: 3274590856
Enrollment ID: O20041215000445
Entity NameUtah Anesthesia, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1235626417
PECOS PAC ID: 4486993862
Enrollment ID: O20190301000531
Entity NameNph Anesthesia Of Utah Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1366077273
PECOS PAC ID: 9537584313
Enrollment ID: O20200811001268
Entity NameSouth Towne Anesthesia Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1457061533
PECOS PAC ID: 3870958176
Enrollment ID: O20230419003080

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. Ms Nichole Cuddeback 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
Ms Nichole Cuddeback, CRNA
Po Box 3570,
Salt Lake City, UT 84110-3570

Ph: (801) 727-2056		Ms Nichole Cuddeback, CRNA
9660 S 1300 E,
Sandy, UT 84094-3762

Ph: (801) 727-2056

Reviews and Comments


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Peter Anders, CRNA
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Jeremy Henrie, CRNA
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Dzenis Mehinovic, CRNA
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Practice Location: 9660 S 1300 E, Sandy, UT 84094
Phone: 801-727-2056    Fax: 770-701-6675
Gary A Wiscombe, CRNA
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Medicare: Accepting Medicare Assignments
Practice Location: 10011 Centennial Pkwy, Sandy, UT 84070
Phone: 801-993-9527    Fax: 801-733-5872

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.