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

Jennifer Nickerson, CRNA

Individual provider Certified Registered Nurse Anesthetist · NPI 1891794772

Jennifer Nickerson, CRNA is a Certified Registered Nurse Anesthetist (CRNA) in Philadelphia, Pennsylvania. Graduated from University of Cincinnati College of Medicine in 2001, 25 years ago. Practices with Ogi Anesthesia, LLC, a 36-clinician group and accepts Medicare assignment. Licensed in Ohio.

Years since qualifying
25
Trained at
University of Cincinnati College of Medicine
Licensed in
OH
In the registry since
2005
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

3401 N Broad St
Philadelphia, PA 19140-5103
Phone: (215) 707-3326
Fax: (215) 707-8028
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 272040 (OH)

Record details

NPI number1891794772
Entity typeIndividual (Type 1)
GenderFemale
Credentials CRNA
Sole proprietorNo
NPI enumeratedJuly 21, 2005
Last updated in NPPESFebruary 18, 2025
Certification dateFebruary 18, 2025

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolUNIVERSITY OF CINCINNATI COLLEGE OF MEDICINE
Graduated 2001 (25 years in practice)
Group practice Ogi Anesthesia, Llc — 36 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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