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

Samantha Sue Nicholson, CRNA

Individual provider Certified Registered Nurse Anesthetist · NPI 1578223285

Samantha Sue Nicholson, CRNA is a Certified Registered Nurse Anesthetist (CRNA) in Falls Church, Virginia. Qualified in 2021, 5 years ago. Practices with Northstar Anesthesia of Virginia, LLC, a 409-clinician group and accepts Medicare assignment. Licensed in Texas and Virginia.

Years since qualifying
5
Licensed in
TX, VA
In the registry since
2021
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

3300 Gallows Rd
Falls Church, VA 22042-3307
Phone: (703) 776-3138
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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 0024183333 (VA)
Registered Nurse Taxonomy 163W00000X · Licence 925980 (TX)

Record details

NPI number1578223285
Entity typeIndividual (Type 1)
GenderFemale
Credentials CRNA
Sole proprietorNo
NPI enumeratedDecember 21, 2021
Last updated in NPPESMay 9, 2022
Certification dateMay 9, 2022

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Northstar Anesthesia Of Virginia, Llc — 409 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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