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Active NPI 1205236031 Individual Practitioner Male Practitioner

Nicholas Sample , CAA

Anesthesiologist Assistant • La Crosse, WI

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Nicholas Sample, CAA is a certified Anesthesiologist Assistant practicing in La Crosse, WI. With approximately 5 years of clinical experience since completing medical education in 2021, Nicholas Sample delivers high-quality medical care to the local community at 1836 SOUTH AVE.

Nicholas Sample is affiliated with Gundersen Lutheran Medical Center Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include anesthesia for lens surgery. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1836 South Ave

La Crosse, WI 546015429

Telephone 6087827300
Associated Practice Facility / Clinic
🏢 Gundersen Clinic Ltd Facility NPI 1851343115

Medicare Profile & Education

Medical School

Other

Graduation Year

2021

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Anesthesiologist Assistant in La Crosse, WI

Experienced Practitioner (5-10 Yrs)
Practitioner Clinical Experience
5 Yrs -5.7 yrs vs City Avg
City Avg: 10.7 Yrs
State Avg: 9.2 Yrs
Regional Practice Density
25 Specialists

Practicing in La Crosse, WI (264 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
95.5% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Sample (5 Years) 5 Yrs
La Crosse Specialty Average (10.7 Years) 10.7 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
00142 Anesthesia for lens surgery
23 23 $1097.74 $49.41

Medical Specialties & State Licenses

CMS Verified: 2021-10-29
Anesthesiologist Assistant Primary Specialty

NUCC Taxonomy Code: 367H00000X

State License WI 195-17

An individual certified by the state to perform anesthesia services under the direct supervision of an anesthesiologist. Anesthesiologist Assistants are required to have a bachelor's degree with a premed curriculum prior to entering a two-year anesthesiology assistant program, which is focused upon the delivery and maintenance of anesthesia care as well as advanced patient monitoring techniques. An Anesthesiologist Assistant must work as a member of the anesthesia care team under the direction of a qualified Anesthesiologist.

Specialist/Technologist - Athletic Trainer

NUCC Taxonomy Code: 2255A2300X

Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor's degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration.

Hospital & Practice Group Affiliations

Gundersen Lutheran Medical Center Inc

1910 S Ave, La Crosse, WI 546015467

Phone: 6087827300

Secondary Practice Locations

537 Crown Pointe Estates Ct

Wildwood, MO 630212012

Phone: 3149715488

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Jessica Thesing , CRNA

Nurse Anesthetist, Certified Registered

NPI 1003090507

Certified Registered Nurse Anesthetist

NPI 1003167909

Doctor of Psychology (Psy.D.)

NPI 1003201427
Julie Sonsalla , APNP

Nurse Practitioner - Adult Health

NPI 1003285511

Advanced Practice Nurse Prescriber

Laura Klingbeil

Orthopaedic Surgery

NPI 1003293713
Susan Sorrentino , RN

Registered Nurse - Addiction (Substance Use Disorder)

NPI 1003313610

Registered Nurse

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

11 Historical Events
📍
Updated Practice Location October 29, 2021

Registered at 1836 SOUTH AVE, LA CROSSE, WI 546015429 (Tel: 6087827300)

📍
Updated Business Mailing Address October 29, 2021

Registered at 1836 SOUTH AVE, LA CROSSE, WI 546015429 (Tel: 6087827300)

👤
Provider Name / Credentials Updated October 29, 2021

Recorded as NICHOLAS SAMPLE, CAA

📍
Updated Practice Location December 16, 2019

Registered at 537 CROWN POINTE ESTATES CT, WILDWOOD, MO 630212012 (Tel: 3149715488)

📍
Updated Business Mailing Address December 16, 2019

Registered at 537 CROWN POINTE ESTATES CT, WILDWOOD, MO 630212012 (Tel: 3149715488)

NPI Profile Active August 29, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location August 29, 2014

Registered at 1231 SW 3RD AVE APT 211, GAINESVILLE, FL 326016304 (Tel: 3149715548)

📍
Updated Business Mailing Address August 29, 2014

Registered at 1231 SW 3RD AVE APT 211, GAINESVILLE, FL 326016304 (Tel: 3149715548)

👤
Provider Name / Credentials Updated August 29, 2014

Recorded as NICHOLAS SAMPLE

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 29, 2014

Specialist/Technologist

🟢
Initial NPI Registration & Enumeration August 29, 2014

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1205236031
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 29, 2014
Last Update: October 29, 2021
Sole Proprietor: No

Mailing Address

1836 South Ave

La Crosse, WI 546015429

Phone: 6087827300

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.