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

Individual provider Certified Registered Nurse Anesthetist · NPI 1790189926

Nicole Renee Fanelli, CRNA is a Certified Registered Nurse Anesthetist (CRNA) in Philadelphia, Pennsylvania. Qualified in 2020, 6 years ago. Practices with United Anesthesia Services PC, a 436-clinician group and accepts Medicare assignment. Licensed in Pennsylvania.

Years since qualifying
6
Licensed in
PA
In the registry since
2014
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

3400 Civic Center Blvd
Philadelphia, PA 19104-5127
Phone: (215) 349-8310
Fax: (215) 662-2739
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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 RN584593 (PA)

Record details

NPI number1790189926
Entity typeIndividual (Type 1)
GenderFemale
Credentials CRNA
Sole proprietorNo
NPI enumeratedOctober 17, 2014
Last updated in NPPESOctober 31, 2019

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 United Anesthesia Services Pc — 436 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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