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

Liem Nguyen Nickelson, AA

Individual provider Anesthesiologist Assistant · NPI 1760764138

Liem Nguyen Nickelson, AA is an Anesthesiology Assistant in Saint Louis, Missouri. Qualified in 2011, 15 years ago. Practices with SSM Health Slu Hospital Anesthesia Physician Billing LLC, a 96-clinician group and accepts Medicare assignment. Licensed in Missouri.

Years since qualifying
15
Licensed in
MO
In the registry since
2011
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Practice location Address checks out

3635 Vista Ave
Saint Louis, MO 63110-2539
Phone: (314) 577-8000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Anesthesiologist Assistant (primary) Taxonomy 367H00000X · Licence 2011030647 (MO)

Record details

NPI number1760764138
Entity typeIndividual (Type 1)
GenderFemale
Credentials AA
Sole proprietorYes
NPI enumeratedSeptember 12, 2011
Last updated in NPPESFebruary 21, 2017

Medicare enrollment

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

Medicare specialtyANESTHESIOLOGY ASSISTANT
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice Ssm Health Slu Hospital Anesthesia Physician Billing Llc — 96 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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