Mr. Ross Alan Nickoley is a Ennis, Texas based nurse anesthetist with 26 years of experience as Anesthesia Administration. He completed he graduation in 1999. He accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Mr. Ross Alan Nickoley is 2006005130 for Anesthesia Administration in Missouri. his current practice location is 2201 West Lampasasas St, Ennis Regional Medical Center, Ennis. Patients can reach him at 972-875-0900 or can fax him at 469-256-2459. Mr. Ross Alan Nickoley is CRNA with specialization in Anesthesia Administration and he NPI number (Unique professional ID assigned by NPPES) is 1992748263. Mr. Ross Alan Nickoley is a certified registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists.
Complete Profile:
Mr. Ross Alan Nickoley speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Specialization:
Anesthesia Administration
Credentials:
CRNA
Experience:
26+ years
Medical School Attended:
Other
Graduation Year:
1999
Gender:
Male
Accepts Medicare Assignment:
Yes
Practice Address:
2201 West Lampasasas St, Ennis Regional Medical Center, Ennis, Texas, 75119
Phone:
972-875-0900
Fax:
469-256-2459
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
PAC ID:
0648255257
Enrollment ID:
I20191219001537
NPI Number:
1992748263
NPI Enumeration Date:
14 Jun, 2006
NPI Last Update On:
11 Apr, 2025
Medical Licenses:
Nurses can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Mr. Ross Alan Nickoley are as mentioned below.
License Number
Specialization
State
Status
2006005130
Anesthesia Administration
Missouri
Primary
17715
Anesthesia Administration
Tennessee
Secondary
Hospital Affiliation:
Surgeons are affiliated to many hospitals whom they worked with in the past or are presently working with. One surgeon can be affiliated to four to five hospitals at a time.
Hospital Name (CCN)
State
Hospital Type
Pulaski Memorial Hospital (151305)
Winamac, IN
Critical Access Hospital
Group Practice:
Group practices are run by a group of physicians who share their premises and other resources. Following list states all the group name
with which Mr. Ross Alan Nickoley has association with along with the number of members in that group.
Organization Name (Group PAC ID)
Members
Ams Northern Indiana Llc (8022444306)
22
Watson Anesthesia Group Pllc (8123270154)
8
Other Medical Identifiers:
Other legacy medical identifiers associated with Mr. Ross Alan Nickoley such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
2006005130
Other
Missouri
MO LICENSE
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
12492 Audran Rd 9931, Mexico, Missouri
Zip:
65265
Phone Number:
573-590-4046
Fax Number:
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Patients can reach Mr. Ross Alan Nickoley at 2201 West Lampasasas St, Ennis Regional Medical Center, Ennis, Texas or can call to book an appointment on 972-875-0900.
Comments/ Reviews:
Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 14 April, 2025.