Provider Profile

Souphaphone B. Nicksic, CRNA

Unclaimed Profile

About Souphaphone Nicksic

Souphaphone B. Nicksic, CRNA is a certified registered nurse anesthetist based in Elgin, IL. Medicare claims data shows Souphaphone provided 62 services to 62 patients. The services billed most often include anesthesia for lens surgery, anesthesia for other procedure on large bowel using an endoscope, and anesthesia for procedure on small and large bowel using an endoscope.

Summarised automatically from public NPI registry and CMS Medicare data. Not written or reviewed by this provider. Claim this profile to replace it.

Education & Training

School Other Graduated: 2009

Specialty

Certified Registered Nurse Anesthetist (Primary)
Certified Registered Nurse Anesthetist (Additional)

Credentials & Licensing

IL license209008677
IN license28181986A
NPI1740425701
NPI issued12/04/2008

License numbers are what the provider reported to NPPES when the NPI was issued or updated. NPPES does not verify licensure; confirm current standing with the state licensing board.

Medicare information

Accepts Medicare assignmentYes
Medicare opt-outNo

Exactly as CMS reports it (National Downloadable File, Opt-Out Affidavits, Order & Referring). Not an insurance directory; confirm coverage with the office.

Common questions

What does Souphaphone B. Nicksic specialize in?

Souphaphone B. Nicksic is a certified registered nurse anesthetist in Elgin, IL. That is the designation recorded for this NPI in the federal registry.

NPI registry

Where is Souphaphone B. Nicksic located?

Souphaphone B. Nicksic is listed at 1425 N Randall Rd, Elgin, IL 60123. Addresses come from the NPI registry and can lag a move, so confirm before travelling.

NPI registry

What is Souphaphone B. Nicksic's phone number?

The number on file is (224) 783-1065. Guide.md cannot book appointments or pass on messages — please call the office directly.

NPI registry

What is the NPI for Souphaphone B. Nicksic?

Souphaphone B. Nicksic's National Provider Identifier is 1740425701. It is issued by the Centers for Medicare & Medicaid Services and is unique and permanent — it does not change if they move practice.

NPI registry

Where did Souphaphone B. Nicksic train?

Souphaphone B. Nicksic attended Other, graduating in 2009. This comes from the CMS National Downloadable File.

CMS public data

How much experience does Souphaphone B. Nicksic have?

Souphaphone B. Nicksic has 17 years experience. Calculated from a graduation year of 2009, reported in the CMS National Downloadable File.

CMS public data

What does Souphaphone B. Nicksic do most often?

According to Medicare billing data, Souphaphone B. Nicksic provides treatments such as anesthesia for lens surgery and anesthesia for other procedure on large bowel using an endoscope. This reflects Medicare patients only and is billing volume, not a measure of quality.

Medicare claims

Is Souphaphone B. Nicksic's profile verified?

Not yet. This profile is built from public federal data and has not been confirmed by Souphaphone B. Nicksic. If this is you, claiming it is free.

Guide.md

Provider data sourced from the NPPES NPI Registry and CMS public datasets. Information is provided for reference and is not medical advice.