Jack Nickerson, CRNA
NPI 1447262548 · Certified Registered Nurse Anesthetist · Grand Rapids, MI
Jack Nickerson, CRNA is a Certified Registered Nurse Anesthetist provider in Grand Rapids, MI (NPI 1447262548).
Provider details
- NPI number
- 1447262548
- Entity type
- Individual
- Primary specialty
- Certified Registered Nurse AnesthetistPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- CRNA
- Sex
- Male
- Sole proprietor
- No
- License
- 4704234290 (MI)
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 tenure38% of score
19 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
- 2006-08-13
- Last updated
- 2010-08-30
Frequently asked questions
- What is Jack Nickerson's NPI number?
- Jack Nickerson's National Provider Identifier (NPI) is 1447262548, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jack Nickerson's specialty?
- Jack Nickerson is listed in the NPPES registry with a primary specialty of Certified Registered Nurse Anesthetist (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Jack Nickerson located?
- Jack Nickerson's practice location on file with NPPES is 3333 Evergreen Dr Ne, Grand Rapids, MI 49525-9756.
- What is Jack Nickerson's phone number?
- The practice phone number listed in the NPPES registry for Jack Nickerson is (616) 364-4200.
- Is Jack Nickerson's NPI active?
- Yes — Jack Nickerson's NPI (1447262548) is active in the NPPES registry as of the last update on 2010-08-30.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.