NPI age
19 years
Enumerated 2006-06-14
● Active
Type 1 · Individual
MR. Ross Alan Nickoley, CRNA
Nickoley is 1 of 8 nurse anesthetist, certified registered providers in Ennis and 1 of 6676 in Texas.
Primary specialty
Nurse Anesthetist, Certified Registered
Plus 1 subspecialty
Licensed in
TN, IL
2 states
Status
Active
No deactivations on record
Last NPPES update
2026-02-10
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 6676 active nurse anesthetist, certified registered providers in Texas.
NPI age
19 years
↑ 6 yr above median (13 yr)
State licenses
2 states
Top 84% — 16% of peers are multi-state
Subspecialties
0
35% of peers hold subspecialties
NPI lifetime · 2006 → 2026
2006-06Enumerated in NPPES
2006
2026
Where they practice
Practice location
2201 West Lampasasas St, Ennis Regional Medical Center
Ennis, TX 75119
Mailing address
12492 Audrain Road 9931
Mexico, MO 652657231
Additional practice locations
1 secondary location on file with NPPES.
Location 2
8000 Wolf River Blvd Ste 200
Germantown, TN 381381755
Specialties
-
Nurse Anesthetist, Certified Registered Primary(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (TN) | Q073460 |
Multi-state credentialing: Licensed in 2 states. Useful context for credentialers building cross-state provider networks.
Practice context
Solo or small practice. No other active providers share this practice address in NPPES.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
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