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

Individual provider Certified Registered Nurse Anesthetist · NPI 1124618061

Nickolas Fedack, DNP, CRNA is a Certified Registered Nurse Anesthetist in El Paso, Texas. Licensed in Colorado and Texas. Registered with an NPI since 2021.

Licensed in
CO, TX
In the registry since
2021
Specialties on file
2
What do these letters mean?
DNP — Doctor of Nursing Practice
The highest clinical degree in nursing.
CRNA — Certified Registered Nurse Anesthetist
An advanced practice nurse who administers anaesthesia.

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Practice location Address checks out

5005 N Piedras St
El Paso, TX 79920-5001
Phone: (915) 742-1970
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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 1087313 (TX)
Critical Care Medicine Registered Nurse Taxonomy 163WC0200X · Licence RN.1638551 (CO)

Record details

NPI number1124618061
Entity typeIndividual (Type 1)
GenderMale
Credentials DNP , CRNA
Sole proprietorNo
NPI enumeratedJanuary 25, 2021
Last updated in NPPESJuly 19, 2023
Certification dateJuly 19, 2023
Mailing address18511 Highlander Medics St, Fort Bliss, TX 79906-5327

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