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

Nicole Nelson, CRNA

Individual provider Certified Registered Nurse Anesthetist · NPI 1639571227

Nicole Nelson, CRNA is a Certified Registered Nurse Anesthetist (CRNA) in Bangor, Maine. Qualified in 2014, 12 years ago. Practices with St Joseph Hospital, a 196-clinician group and accepts Medicare assignment. Licensed in Illinois and Maine.

Years since qualifying
12
Licensed in
IL, ME
In the registry since
2014
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

360 Broadway
Bangor, ME 04401-3979
Phone: (207) 907-1430
Fax: (207) 907-3508
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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 RNA173045 (ME)
Certified Registered Nurse Anesthetist Taxonomy 367500000X · Licence 209.012256 (IL)

Record details

NPI number1639571227
Entity typeIndividual (Type 1)
GenderFemale
Credentials CRNA
Sole proprietorNo
NPI enumeratedSeptember 25, 2014
Last updated in NPPESFebruary 3, 2022
Certification dateFebruary 3, 2022

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 St Joseph Hospital — 196 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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