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

Nicole Brainin

Individual provider Certified Registered Nurse Anesthetist · NPI 1104502038

Nicole Brainin is a Certified Registered Nurse Anesthetist (CRNA) in Edwardsville, Illinois. Qualified in 2024, 2 years ago. Practices with Northstar Anesthesia of Illinois, LLC, a 406-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
2
Licensed in
IL
In the registry since
2023

Practice location Address checks out

29 S Cherry Hls
Edwardsville, IL 62025
Phone: (630) 649-8821
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence 041.441505 (IL)

Record details

NPI number1104502038
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 26, 2023
Last updated in NPPESJune 26, 2023
Certification dateJune 26, 2023
Mailing address29 South Cherry Hls, Edwardsville, IL 62025

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Northstar Anesthesia Of Illinois, Llc — 406 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Edwardsville