Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Christopher Michael Nickelson

Individual provider Registered Nurse · NPI 1477062743

Christopher Michael Nickelson is a Certified Registered Nurse Anesthetist (CRNA) in New Bern, North Carolina. Qualified in 2017, 9 years ago. Practices with Carolinaeast Physicians, a 204-clinician group and accepts Medicare assignment. Licensed in North Carolina and Pennsylvania.

Years since qualifying
9
Licensed in
NC, PA
In the registry since
2017
Specialties on file
3

Practice location Address checks out

2000 Neuse Blvd
New Bern, NC 28560-3449
Phone: (252) 633-8846
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence 120598 (PA)
Registered Nurse Taxonomy 163W00000X · Licence RN639963 (PA)
Registered Nurse Taxonomy 163W00000X · Licence 300495 (NC)

Record details

NPI number1477062743
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedSeptember 29, 2017
Last updated in NPPESJanuary 29, 2018
Mailing address101 Porter Ave, Scottdale, PA 15683-1138

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Carolinaeast Physicians — 204 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in New Bern