Nicole Fetzer, CRNA
NPI 1902105273 · Certified Registered Nurse Anesthetist · Liverpool, NY
Enrolled with Medicare as Practitioner - Certified Registered Nurse Anesthetist (crna) · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Nicole Fetzer, CRNA is a Certified Registered Nurse Anesthetist provider in Liverpool, NY (NPI 1902105273).
Provider details
- NPI number
- 1902105273
- Entity type
- Individual
- Primary specialty
- Certified Registered Nurse AnesthetistPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- CRNA
- Sex
- Female
- Sole proprietor
- No
- License
- 543801 (NY)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
3 documented practice locations
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
Additional practice locations (2)
- 225 Greenfield Pkwy Ste 105Liverpool, NY 13088Phone: (315) 451-6911Fax: (315) 451-1540
- 4900 Broad RdSyracuse, NY 13215-2265Phone: (315) 492-5522
Registry dates
- Enumerated
- 2011-03-25
- Last updated
- 2023-07-22
Frequently asked questions
- What is Nicole Fetzer's NPI number?
- Nicole Fetzer's National Provider Identifier (NPI) is 1902105273, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Nicole Fetzer's specialty?
- Nicole Fetzer is listed in the NPPES registry with a primary specialty of Certified Registered Nurse Anesthetist (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Nicole Fetzer located?
- Nicole Fetzer's practice location on file with NPPES is 225 Greenfield Pkwy Ste 105, Liverpool, NY 13088.
- What is Nicole Fetzer's phone number?
- The practice phone number listed in the NPPES registry for Nicole Fetzer is (315) 451-6911.
- Does Nicole Fetzer accept Medicare?
- Nicole Fetzer is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Nicole Fetzer's NPI active?
- Yes — Nicole Fetzer's NPI (1902105273) is active in the NPPES registry as of the last update on 2023-07-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.