Paul Wendell Nicholson, CRNA
NPI 1265997985ActiveIndividual· Nurse Anesthetist, Certified Registered· Twin Falls, ID
Nurse Anesthetist, Certified Registered (CRNA) with St Lukes Clinic - Wood River LLC, practicing in Twin Falls, Idaho. Medicare paid $25,457 for services to 127 patients in 2024. Lists St Luke's Wood River Medical Center as a hospital affiliation.
Overview
| NPI | 1265997985 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | CRNA |
| Sole proprietor | Yes |
| NPI issued | Feb 6, 2019 |
| Last updated in NPPES | Dec 15, 2021 |
| Certified by provider | Dec 15, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Anesthetist, Certified Registered Primary | 367500000X | 69350 | ID |
| Nurse Anesthetist, Certified Registered | 367500000X | 8752157-4406 | UT |
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) (ID) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 127 |
|---|---|
| Services billed | 191 across 38 procedure codes |
| Paid by Medicare | $25,457 |
Education and affiliations
| Graduation year | 2018 |
|---|---|
| Medicare specialty | Certified Registered Nurse Anesthetist (Crna) |
Medical group
- St Lukes Clinic - Wood River LLCKetchum, ID · 66 clinicians
Hospital affiliation
- St Luke's Wood River Medical CenterKetchum, ID
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 28 nurse anesthetists in Twin Falls · All nurse anesthetists in Idaho