Mr. Nickolas K Willard, CRNA
Mr. Nickolas K Willard, CRNA is registered under Certified Registered Nurse Anesthetist (CRNA) in Scottsdale, Arizona. Qualified in 2012, 14 years ago. Practices with Amsurg North Valley Anesthesia LLC, a 4-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Arizona and Illinois.
- Years since qualifying
- 14
- Licensed in
- AZ, IL
- In the registry since
- 2010
- Specialties on file
- 2
What do these letters mean?
- CRNA — Certified Registered Nurse Anesthetist
- An advanced practice nurse who administers anaesthesia.
Practice location Address checks out
13400 E Shea BlvdScottsdale, AZ 85259-5452
Phone: (480) 301-8000
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Additional practice locations (1)
- 251 E Huron St # F5-704, Chicago, IL 60611-2908 — (801) 710-2006
Specialties & licences
| Certified Registered Nurse Anesthetist (primary) | Taxonomy 367500000X · Licence CRNA1186 (AZ) |
|---|---|
| Certified Registered Nurse Anesthetist | Taxonomy 367500000X · Licence 209010303 (IL) |
Record details
| NPI number | 1073816237 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | CRNA |
| Sole proprietor | No |
| NPI enumerated | December 9, 2010 |
| Last updated in NPPES | April 24, 2018 |
Medicare enrollment
| Medicare specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
|---|---|
| Medical school | OTHER |
| Graduated | 2012 (14 years in practice) |
| Group practice | Amsurg North Valley Anesthesia Llc — 4 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
Medicare patients and services, 2024
| Medicare patients | 193 |
|---|---|
| Services billed | 196 |
| Average patient age | 73 |
Payments from drug and device companies, 2025
| Food and Beverage | $37 |
|---|
Colleagues at Amsurg North Valley Anesthesia LLC
- Derek C. Miller, CRNA Certified Registered Nurse Anesthetist · Joplin, MO
Other providers in Scottsdale
-
Mackenzie Watson, CRNA
13400 E Shea Blvd, Scottsdale, AZ 85259-5499 · (480) 301-8000
-
Amanda Webb
13400 E Shea Blvd, Scottsdale, AZ 85259 · (480) 301-8000
-
Sarah D. Weishaar, DNP
13400 E Shea Blvd, Scottsdale, AZ 85259-5452 · (480) 301-8000
-
Mr. Brad Whitesel, CRNA
13400 E Shea Blvd, Scottsdale, AZ 85259-5452 · (480) 301-8000
-
Mr. Edmund Jarom Wingert, RN
13400 E Shea Blvd, Scottsdale, AZ 85259-5499 · (480) 301-8000
-
Polly Wolff, CRNA
13400 E Shea Blvd, Scottsdale, AZ 85259-5452 · (480) 301-8000
-
Shayne Nicholle Wood, CRNA
13400 E Shea Blvd, Scottsdale, AZ 85259-5499 · (480) 301-8000
-
Cari L Young, CRNA
13400 E Shea Blvd, Scottsdale, AZ 85259-5452 · (480) 301-8000