PATRICK DICKINSON (CRNA) – Certified Registered Nurse Anesthetist, NPI 1124430525

PATRICK DICKINSON (CRNA) is a healthcare provider. based in Valparaiso, Indiana. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials CRNA. They hold a License No. 100643 (IN). The NPI Number for PATRICK DICKINSON (CRNA) is 1124430525

Main info

Male
12 Years Of Experience
Accepts Medicare Assignment
Name
PATRICK DICKINSON (CRNA)
NPI
1124430525
Phone
Not provided
Address
85 E US HIGHWAY 6
Enumeration Date
20 May 2014
Last Update Date
20 May 2014

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2142523535
Graduation Year
2014 (12 years ago)
PAC ID
0446474928
Group Practice PAC ID
5496029407
Professional Enrollment ID
I20231122000006
Address ID
TX752195106DA3625XSTXX401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience38
Completeness75
Years active:12State licenses:1Digital endpointsOther names

710 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in IN

Provider Addresses for PATRICK DICKINSON (CRNA)

  • 85 E US HIGHWAY 6

    VALPARAISO, IN 463838947

    Phone:

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $196.

Total Amount is formed as General ($196) + Research ($0) + Ownership ($0) = $196.

Last reported payment date: 2023-10-13 • Largest payer in this snapshot: W. L. Gore & Associates, Inc. ($178).

Total Amount

$196

General + Research + Ownership

Payments

3

Total payment records

General Amount

$196

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-10-13

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2023-11-22

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
I20231122000006ICertified Registered Nurse Anesthetist (Crna)TXTBD

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
00142Anesthesia for lens surgery5146$0
00731Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope2323$0
00811Anesthesia for other procedure on large bowel using an endoscope2121$0
View full utilization report →

Insurance plans in this area (ZIP 46383)

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Provider's Procedures

PATRICK DICKINSON (CRNA) performs procedures in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
CERTIFIED REGISTERED NURSE ANESTHETIN00142Anesthesia for lens surgery1313

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: 5496029407View full group profile
NameSpecialtyState
A N E S T H E S I O L O G YTX
Certified Registered Nurse Anesthetist (Crna)TX
-FL
A N E S T H E S I O L O G YTX
Certified Registered Nurse Anesthetist (Crna)KS
-TX
-TX
A N E S T H E S I O L O G YTX
A N E S T H E S I O L O G YTX
A N E S T H E S I O L O G YTX

Reviews

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Frequently asked questions

What is PATRICK DICKINSON (CRNA)'s NPI number?
PATRICK DICKINSON (CRNA)'s NPI is 1124430525 — the number used across U.S. healthcare to identify this provider.
Is PATRICK DICKINSON (CRNA) still an active registrant?
PATRICK DICKINSON (CRNA) carries an active NPI according to the public dataset.
What clinical focus is listed for PATRICK DICKINSON (CRNA)?
At a glance, PATRICK DICKINSON (CRNA) is tied to Certified Registered Nurse Anesthetist. Clinical services aligned with this taxonomy classification.
What locale is associated with PATRICK DICKINSON (CRNA)?
Directory geography for PATRICK DICKINSON (CRNA) centers on Valparaiso, Indiana.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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