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

Nickolas Rose

Individual provider Certified Registered Nurse Anesthetist · NPI 1568868867

Nickolas Rose is a Certified Registered Nurse Anesthetist (CRNA) in Dallas, Texas. Qualified in 2014, 12 years ago. Practices with Haskell County Hospital, an 11-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
12
Licensed in
TX
In the registry since
2014
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Practice location Address checks out

6606 Lbj Fwy Ste 200
Dallas, TX 75240
Phone: (972) 715-5000
Fax: (972) 715-9976
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 215 Chisholm Trl, Jacksboro, TX 76458-1403 — (940) 567-6633

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence AP127202 (TX)

Record details

NPI number1568868867
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedNovember 13, 2014
Last updated in NPPESFebruary 16, 2024
Certification dateFebruary 16, 2024

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Haskell County Hospital — 11 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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