Nickolas C. Southwick, CRNA
NPI 1023617362ActiveIndividual· Nurse Anesthetist, Certified Registered· Plymouth, MN
Nurse Anesthetist, Certified Registered (CRNA) with University Anesthesia Providers LLC and 1 other group, practicing in Plymouth, Minnesota. Medicare paid $11,072 for services to 95 patients in 2024. Lists M Health Fairview Southdale Hospital and 1 other hospital as hospital affiliations.
Overview
| NPI | 1023617362 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | CRNA |
| Sole proprietor | No |
| NPI issued | Oct 19, 2020 |
| Last updated in NPPES | Nov 24, 2025 |
| Certified by provider | Nov 24, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Anesthetist, Certified Registered Primary | 367500000X | 2342009 | MN |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Certified Registered Nurse Anesthetist (CRNA) (MN); Practitioner - Certified Registered Nurse Anesthetist (CRNA) (WI) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 95 |
|---|---|
| Services billed | 96 across 34 procedure codes |
| Paid by Medicare | $11,072 |
Education and affiliations
| Graduation year | 2020 |
|---|---|
| Medicare specialty | Certified Registered Nurse Anesthetist (Crna) |
Medical groups
- University Anesthesia Providers LLCMinneapolis, MN · 316 clinicians
- Nura PLLCEdina, MN · 33 clinicians
Hospital affiliations
- M Health Fairview Southdale HospitalEdina, MN
- M Health Fairview St John's HospitalMaplewood, MN
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 126 nurse anesthetists in Plymouth · All nurse anesthetists in Minnesota