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Nicholas Sample, CAA

NPI 1205236031ActiveIndividual· Anesthesiologist Assistant· La Crosse, WI

Anesthesiologist Assistant (CAA) with Gundersen Lutheran Medical Center Inc, practicing in La Crosse, Wisconsin. Medicare paid $9,158 for services to 106 patients in 2024. Lists Gundersen Lutheran Medical Center as a hospital affiliation.

Overview

NPI1205236031
StatusActive
Entity typeIndividual
CredentialCAA
Sole proprietorNo
NPI issuedAug 29, 2014
Last updated in NPPESOct 29, 2021
Certified by providerOct 29, 2021

Specialties and licenses

TaxonomyCodeLicenseState
Anesthesiologist Assistant Primary367H00000X195-17WI
Specialist/Technologist, Athletic Trainer2255A2300X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Practitioner - Anesthesiology Assistant (WI)
Accepts assignmentYes (participating)

Medicare services in 2024

Medicare patients106
Services billed106 across 42 procedure codes
Paid by Medicare$9,158

Medicare sources and data years

Education and affiliations

Graduation year2021
Medicare specialtyAnesthesiology Assistant

Medical group

Hospital affiliation

Source: CMS Care Compare

Other Anesthesiologist Assistant providers in La Crosse

All 24 Anesthesiologist Assistant providers in La Crosse · All Anesthesiologist Assistant providers in Wisconsin