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

Individual provider Certified Registered Nurse Anesthetist · NPI 1629344254

Elizabeth A Nickell, CRNA is a Certified Registered Nurse Anesthetist (CRNA) in Kettering, Ohio. Qualified in 2012, 14 years ago. Practices with Sandusky Anesthesia LLC, a 123-clinician group and accepts Medicare assignment. Licensed in Ohio.

Years since qualifying
14
Licensed in
OH
In the registry since
2012
What do these letters mean?
CRNA — Certified Registered Nurse Anesthetist
An advanced practice nurse who administers anaesthesia.

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Practice location Address checks out

3535 Southern Blvd
Kettering, OH 45429-1221
Phone: (937) 293-8228
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence RN.317585-COA1 (OH)

Record details

NPI number1629344254
Entity typeIndividual (Type 1)
GenderFemale
Credentials CRNA
Sole proprietorNo
NPI enumeratedMarch 28, 2012
Last updated in NPPESMarch 28, 2012

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Sandusky Anesthesia Llc — 123 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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