DR. DUSTIN JOSEPH HEATH (DNP, CRNA) – Flight Registered Nurse, NPI 1114651684

DR. DUSTIN JOSEPH HEATH (DNP, CRNA) is a healthcare provider. based in Amboy, Indiana. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials DNP, CRNA. They hold a License No. 28236138A (IN). The NPI Number for DR. DUSTIN JOSEPH HEATH (DNP, CRNA) is 1114651684

Main info

Male
4 Years Of Experience
Accepts Medicare Assignment
Name
DR. DUSTIN JOSEPH HEATH (DNP, CRNA)
NPI
1114651684
Phone
(765) 469-7248
Address
9056 S STATE ROAD 19
Enumeration Date
12 July 2022
Last Update Date
24 June 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2608243210
Graduation Year
2022 (4 years ago)
PAC ID
2365355864
Group Practice PAC ID
2264412444
Professional Enrollment ID
I20220914000647
Address ID
IN467142503BL303XXSTXX402
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience35
Completeness75
Years active:3State licenses:1Digital endpointsOther names

710 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in IN

Provider Addresses for DR. DUSTIN JOSEPH HEATH (DNP, CRNA)

  • 9056 S STATE ROAD 19

    AMBOY, IN 469119435

    Phone: (765) 469-7248

    Type: Mailing

  • 7950 W JEFFERSON BLVD

    FORT WAYNE, IN 468044140

    Phone: (260) 435-7001

    Type: Location

  • PO BOX 843603

    DALLAS, TX 752843603

    Phone:

    Type: Mailing

  • 10315 DAWSONS CREEK BLVD STE AB

    FORT WAYNE, IN 468251912

    Phone: (260) 436-7875

    Fax: (260) 432-9812

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2022-09-14

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20220914000647ICertified Registered Nurse Anesthetist (Crna)INTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
64447Injection of anesthetic agent and/or steroid into thigh nerve (femoral nerve)1717$0
01402Anesthesia for procedure for total knee joint replacement1616$0
00142Anesthesia for lens surgery1313$0
00731Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope1313$0
00811Anesthesia for other procedure on large bowel using an endoscope1111$0
View full utilization report →

Insurance plans in this area (ZIP 46911)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2264412444View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)MI
-IN
A N E S T H E S I O L O G YIN
-OH
Certified Registered Nurse Anesthetist (Crna)IN
Certified Registered Nurse Anesthetist (Crna)TX
-IN
-OH
Certified Registered Nurse Anesthetist (Crna)TN
Certified Registered Nurse Anesthetist (Crna)IN

Reviews

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Frequently asked questions

How is DR. DUSTIN JOSEPH HEATH (DNP, CRNA) identified in CMS data?
CMS-hosted NPPES data lists DR. DUSTIN JOSEPH HEATH (DNP, CRNA) with NPI 1114651684.
Is DR. DUSTIN JOSEPH HEATH (DNP, CRNA) listed as active for patients and plans?
The listing shows DR. DUSTIN JOSEPH HEATH (DNP, CRNA) as active in the NPI system.
What is DR. DUSTIN JOSEPH HEATH (DNP, CRNA) best known for clinically?
Directory data describes DR. DUSTIN JOSEPH HEATH (DNP, CRNA) with Flight Registered Nurse. Clinical services aligned with this taxonomy classification.
Where should I expect DR. DUSTIN JOSEPH HEATH (DNP, CRNA) on a map?
Expect Amboy, Indiana as a primary anchor for DR. DUSTIN JOSEPH HEATH (DNP, CRNA) unless the record lists multiple sites.
Is the information about DR. DUSTIN JOSEPH HEATH (DNP, CRNA) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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