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

Individual provider Certified Registered Nurse Anesthetist · NPI 1073816237

Mr. Nickolas K Willard, CRNA is a Certified Registered Nurse Anesthetist (CRNA) in Scottsdale, Arizona. Qualified in 2012, 14 years ago. Practices with Amsurg North Valley Anesthesia LLC, a 4-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Arizona and Illinois.

Years since qualifying
14
Licensed in
AZ, IL
In the registry since
2010
Specialties on file
2
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

13400 E Shea Blvd
Scottsdale, AZ 85259-5452
Phone: (480) 301-8000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 251 E Huron St # F5-704, Chicago, IL 60611-2908 — (801) 710-2006

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence CRNA1186 (AZ)
Certified Registered Nurse Anesthetist Taxonomy 367500000X · Licence 209010303 (IL)

Record details

NPI number1073816237
Entity typeIndividual (Type 1)
GenderMale
Credentials CRNA
Sole proprietorNo
NPI enumeratedDecember 9, 2010
Last updated in NPPESApril 24, 2018

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 Amsurg North Valley Anesthesia Llc — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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