Doctor profile · Federal record

Dr. Johnathan Nicholls, CRNA

Certified Registered Nurse Anesthetist (CMS: Certified Registered Nurse Anesthetist (CRNA)) · Phoenix, AZ

  • NPI 1639684699
  • Accepts Medicare
  • MIPS 78.3 / 100 · 2023
  • 10 yrs in practice
  • Male
  • Solo practice
  • No sanctions

Practice & contact

Operates at 2 locations .

NPPES Updated May 11, 2026
Primary practice
1111 E McDowell RD
Phoenix, AZ 850062612
(602) 839-2000
Additional location
8424 E Shea Blvd Ste 101
Scottsdale, AZ 85260
(480) 256-1520
fax (480) 478-6628
Mailing address
9424 W Eaton RD
Phoenix, AZ 850374274

Credentials & registration

NPPES · NUCC
NPI registered
December 2017 — 9 yrs on file
Profile last updated
January 30, 2025
Year of graduation
2016 — 10 yrs since
Specialty taxonomy
367500000X — NUCC code
State license (1)
Arizona #CRNA1494
Medicaid
AZ #390207

Federal sanctions & exclusions

OIG LEIE Updated May 11, 2026

No sanctions, exclusions or revocations on file

Checked against OIG LEIE on NPI 1639684699. Last verified May 11, 2026.

Medicare procedures · 2023

Top services delivered

CMS Provider Utilization
Total services
94
Distinct HCPCS
4
Medicare allowed
$22,111
HCPCS Description Services Patients Avg allowed
36620 Insertion of artery tube for blood sampling or infusion through skin 33 32 $43
00537 Anesthesia for procedure to assess heart electrical activity 27 27 $426
01926 Anesthesia for x-ray on artery of brain, heart, or chest 22 22 $326
01922 Anesthesia for x-ray or radiation therapy 12 12 $169

In context: peer comparison

Among 73 peers in Phoenix Certified Registered Nurse Anesthetist, average services per provider: 40. This provider delivers 2.4× the peer median.

Open Payments

Industry payments received

CMS Open Payments
All-time total
$28
Transactions
1
Manufacturers
1
Payer (manufacturer) Industry Txns Amount
Medtronic, INC. 1 $28.15

By nature of payment

Food and Beverage
$28

Hospital affiliations

CMS Hospital Compare

Frequently asked questions

Auto-generated from federal data
What is Dr. Johnathan Nicholls's medical specialty?
Dr. Johnathan Nicholls practices Certified Registered Nurse Anesthetist in Phoenix, AZ.
Where does Dr. Johnathan Nicholls practice?
Dr. Johnathan Nicholls practices at 1111 E McDowell RD, Phoenix, AZ 850062612. Office phone: 6028392000.
What is Dr. Johnathan Nicholls's NPI?
Dr. Johnathan Nicholls's National Provider Identifier (NPI) is 1639684699, issued by NPPES.
Does Dr. Johnathan Nicholls accept Medicare assignment?
Yes. Dr. Johnathan Nicholls accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Johnathan Nicholls commonly perform?
Top Medicare-reported procedures in 2023: Insertion of artery tube for blood sampling or infusion through skin (HCPCS 36620); Anesthesia for procedure to assess heart electrical activity (HCPCS 00537); Anesthesia for x-ray on artery of brain, heart, or chest (HCPCS 01926). Source: CMS Medicare Physician & Other Practitioners file.