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

Mr. Samual Allen Nicholson, CRNA

Individual provider Certified Registered Nurse Anesthetist · NPI 1972517159

Mr. Samual Allen Nicholson, CRNA is registered under Certified Registered Nurse Anesthetist (CRNA) in Spokane, Washington. Qualified in 2006, 20 years ago. Practices with Providence Health and Service- Washington, a 172-clinician group and accepts Medicare assignment. Licensed in Washington.

Years since qualifying
20
Licensed in
WA
In the registry since
2006
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

101 W 8th Ave
Spokane, WA 99204-2307 Not confirmed with CMS for 19 years — call before visiting
Phone: (509) 474-4971
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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 30007381 (WA)

Record details

NPI number1972517159
Entity typeIndividual (Type 1)
GenderMale
Credentials CRNA
Sole proprietorYes
NPI enumeratedJuly 27, 2006
Last updated in NPPESJuly 8, 2007

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2006 (20 years in practice)
Group practice Providence Health And Service- Washington — 172 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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