Nickolas Fedack, DNP, CRNA
NPI 1124618061 · Certified Registered Nurse Anesthetist · El Paso, TX
Enrolled with Medicare as Practitioner - Certified Registered Nurse Anesthetist (crna) · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Nickolas Fedack, DNP, CRNA is a Certified Registered Nurse Anesthetist provider in El Paso, TX (NPI 1124618061).
Provider details
- NPI number
- 1124618061
- Entity type
- Individual
- Primary specialty
- Certified Registered Nurse AnesthetistPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- DNP, CRNA
- Sex
- Male
- Sole proprietor
- No
- License
- 1087313 (TX)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Nursing Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
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.
Practice location
Mailing address
Registry dates
- Enumerated
- 2021-01-25
- Last updated
- 2023-07-19
- Certified
- 2023-07-19
Frequently asked questions
- What is Nickolas Fedack's NPI number?
- Nickolas Fedack's National Provider Identifier (NPI) is 1124618061, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Nickolas Fedack's specialty?
- Nickolas Fedack is listed in the NPPES registry with a primary specialty of Certified Registered Nurse Anesthetist (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Nickolas Fedack located?
- Nickolas Fedack's practice location on file with NPPES is 5005 N. Piedras St., El Paso, TX 79920-5001.
- What is Nickolas Fedack's phone number?
- The practice phone number listed in the NPPES registry for Nickolas Fedack is (915) 742-1970.
- Does Nickolas Fedack accept Medicare?
- Nickolas Fedack is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Nickolas Fedack's NPI active?
- Yes — Nickolas Fedack's NPI (1124618061) is active in the NPPES registry as of the last update on 2023-07-19.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.