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

Mary Nichols

Individual provider Registered Nurse · NPI 1154081511

Mary Nichols is a Certified Registered Nurse Anesthetist (CRNA) in Arlington, Virginia. Qualified in 2021, 5 years ago. Practices with Acv Inc, a 69-clinician group and accepts Medicare assignment. Licensed in Virginia.

Years since qualifying
5
Licensed in
VA
In the registry since
2021
Specialties on file
2
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Practice location Address checks out

1701 N George Mason Dr
Arlington, VA 22205-3610
Phone: (703) 558-5000
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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 24183544 (VA)
Registered Nurse Taxonomy 163W00000X · Licence 1285926 (VA)

Record details

NPI number1154081511
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedDecember 28, 2021
Last updated in NPPESFebruary 7, 2022
Certification dateFebruary 7, 2022
Mailing address5841 Old Locke Ct, Roanoke, VA 24018-3875

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Acv Inc — 69 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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