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

Paul Wendell Nicholson, CRNA

Individual provider Certified Registered Nurse Anesthetist · NPI 1265997985

Paul Wendell Nicholson, CRNA is a Certified Registered Nurse Anesthetist (CRNA) in Twin Falls, Idaho. Qualified in 2018, 8 years ago. Practices with St Lukes Clinic - Wood River LLC, a 64-clinician group and accepts Medicare assignment. Licensed in Idaho and Utah.

Years since qualifying
8
Licensed in
ID, UT
In the registry since
2019
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

201 Canyon Crest Dr
Twin Falls, ID 83301-5934
Phone: (208) 734-7362
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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 69350 (ID)
Certified Registered Nurse Anesthetist Taxonomy 367500000X · Licence 8752157-4406 (UT)

Record details

NPI number1265997985
Entity typeIndividual (Type 1)
GenderMale
Credentials CRNA
Sole proprietorYes
NPI enumeratedFebruary 6, 2019
Last updated in NPPESDecember 15, 2021
Certification dateDecember 15, 2021

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice St Lukes Clinic - Wood River Llc — 64 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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