Nickolas Southwick, CRNA
NPI 1023617362 · Certified Registered Nurse Anesthetist · Plymouth, MN
Enrolled with Medicare as Practitioner - Certified Registered Nurse Anesthetist (crna) · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Nickolas Southwick, CRNA is a Certified Registered Nurse Anesthetist provider in Plymouth, MN (NPI 1023617362).
Provider details
- NPI number
- 1023617362
- Entity type
- Individual
- Primary specialty
- Certified Registered Nurse AnesthetistPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- CRNA
- Sex
- Male
- Sole proprietor
- No
- License
- 2342009 (MN)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
5 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
2 documented practice locations
- Medicare service volume (vs. specialty peers)28% of score
25 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Anesthesia for Nerve Block and Injection Procedure, Prone Position01992 | 13 | $135 |
| Anesthesia for Procedure to Correct Abnormal Heart Rhythm00410 | 12 | $47 |
Typical Medicare-allowed amounts for these services range $47–$135 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
Practice location
Mailing address
Additional practice locations (1)
- 2104 Northdale Blvd Nw Ste 220Coon Rapids, MN 55433-3046Phone: (763) 537-6000
Registry dates
- Enumerated
- 2020-10-19
- Last updated
- 2025-11-24
- Certified
- 2025-11-24
Frequently asked questions
- What is Nickolas Southwick's NPI number?
- Nickolas Southwick's National Provider Identifier (NPI) is 1023617362, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Nickolas Southwick's specialty?
- Nickolas Southwick is listed in the NPPES registry with a primary specialty of Certified Registered Nurse Anesthetist (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Nickolas Southwick located?
- Nickolas Southwick's practice location on file with NPPES is 14700 28th Ave N Ste 20, Plymouth, MN 55447-4876.
- What is Nickolas Southwick's phone number?
- The practice phone number listed in the NPPES registry for Nickolas Southwick is (763) 559-3779.
- Does Nickolas Southwick accept Medicare?
- Nickolas Southwick is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Nickolas Southwick's NPI active?
- Yes — Nickolas Southwick's NPI (1023617362) is active in the NPPES registry as of the last update on 2025-11-24.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.