Doctor profile · Federal record
Dr. Nickolas Southwick, CRNA
Certified Registered Nurse Anesthetist (CMS: Certified Registered Nurse Anesthetist (CRNA)) · Plymouth, MN
- NPI 1023617362
- Accepts Medicare
- 6 yrs in practice
- Male
- Group practice
- No sanctions
Practice & contact
Operates at 2 locations .
- Primary practice
-
14700 28Th Ave N Ste 20
Plymouth, MN 554474876
(763) 559-3779
fax (763) 450-3986 - Additional location
-
2104 Northdale Blvd Nw Ste 220
Coon Rapids, MN 554333046
(763) 537-6000 - Mailing address
-
Po Box 47159
Plymouth, MN 554470159
Credentials & registration
- NPI registered
- October 2020 — 6 yrs on file
- Profile last updated
- November 24, 2025
- Year of graduation
- 2020 — 6 yrs since
- Specialty taxonomy
- 367500000X — NUCC code
- State license (1)
- Minnesota #2342009
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1023617362. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
29
Distinct HCPCS
1
Medicare allowed
$4,065
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
01992 |
Anesthesia for nerve block and injection procedure, prone position | 29 | 28 | $140 |
In context: peer comparison
Among 21 peers in this city , average services per provider: 21. This provider delivers 1.4× the peer median.Hospital affiliations
Frequently asked questions
What is Dr. Nickolas Southwick's medical specialty?
Dr. Nickolas Southwick practices Certified Registered Nurse Anesthetist in Plymouth, MN.
Where does Dr. Nickolas Southwick practice?
Dr. Nickolas Southwick practices at 14700 28Th Ave N Ste 20, Plymouth, MN 554474876. Office phone: 7635593779.
What is Dr. Nickolas Southwick's NPI?
Dr. Nickolas Southwick's National Provider Identifier (NPI) is 1023617362, issued by NPPES.
Does Dr. Nickolas Southwick accept Medicare assignment?
Yes. Dr. Nickolas Southwick accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Nickolas Southwick commonly perform?
Top Medicare-reported procedures in 2023: Anesthesia for nerve block and injection procedure, prone position (HCPCS 01992). Source: CMS Medicare Physician & Other Practitioners file.