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

Nicole Marie Fetzer, CRNA

Individual provider Internal Medicine Physician · NPI 1902105273

Nicole Marie Fetzer, CRNA is an Internal Medicine Physician in Liverpool, New York. Works from 3 locations. Licensed in New York.

Licensed in
NY
In the registry since
2011
Specialties on file
2
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

225 Greenfield Pkwy Ste 105
Liverpool, NY 13088
Phone: (315) 451-6911
Fax: (315) 451-1540
Show map & directions

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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 225 Greenfield Pkwy Ste 105, Liverpool, NY 13088 — (315) 451-6911
  • 4900 Broad Rd, Syracuse, NY 13215-2265 — (315) 492-5522

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence 543801 (NY)
Internal Medicine Physician Taxonomy 207R00000X · Licence 543801 (NY)

Record details

NPI number1902105273
Entity typeIndividual (Type 1)
GenderFemale
Credentials CRNA
Sole proprietorNo
NPI enumeratedMarch 25, 2011
Last updated in NPPESJuly 22, 2023

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Medicare patients21
Services billed 21 a service is one billed item, such as a visit, a test or a procedure
Average patient age74

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

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