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

Nicholas Douglas

Individual provider Certified Registered Nurse Anesthetist · NPI 1417686874

Nicholas Douglas is a Certified Registered Nurse Anesthetist (CRNA) in Hollywood, Florida. Qualified in 2020, 6 years ago. Practices with Chs Anesthesia Services Group Inc, a 737-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
6
Licensed in
FL
In the registry since
2022
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Practice location Address checks out

4108 W Park Rd
Hollywood, FL 33021-4244
Phone: (754) 214-4432
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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 11016993 (FL)

Record details

NPI number1417686874
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJune 9, 2022
Last updated in NPPESJuly 25, 2025
Certification dateJuly 25, 2025
Mailing address4108 W Park Rd, Hollywood, FL 33021-4244

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Chs Anesthesia Services Group Inc — 737 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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