JONATHAN S DICKINSON (CRNA) – Certified Registered Nurse Anesthetist, NPI 1821082579
Certified Registered Nurse Anesthetist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,370 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in KY
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Provider Addresses for JONATHAN S DICKINSON (CRNA)
Graves Gilbert Clinic, 350, Park Street, Bowling Green, Warren County, Kentucky, 42101, United States
STE 203 B
BOWLING GREEN, KY 421011784
Phone: (270) 393-1912
Fax: (270) 393-1913
Type: Mailing
The Medical Center at Bowling Green, 250, Park Street, Bowling Green, Warren County, Kentucky, 42101, United States
BOWLING GREEN, KY 421011760
Phone: (270) 745-1000
Fax: (270) 393-1913
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 2 Open Payments records for all available years, with a total value of $40.
Total Amount is formed as General ($40) + Research ($0) + Ownership ($0) = $40.
Last reported payment date: 2024-03-05 • Largest payer in this snapshot: Masimo Corporation ($40).
Total Amount
$40
General + Research + Ownership
Payments
2
Total payment records
General Amount
$40
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-03-05
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Masimo Corporation | $40 |
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: 2017-05-10
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 3 Medicare enrollment records; no due dates published yet.
Enrollment records
3
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20040823001191 | I | Certified Registered Nurse Anesthetist (Crna) | KY | TBD |
| I20160304000047 | I | Certified Registered Nurse Anesthetist (Crna) | IN | TBD |
| I20170510001293 | I | Certified Registered Nurse Anesthetist (Crna) | TN | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 01992 | Anesthesia for nerve block and injection procedure, prone position | 74 | 67 | $0 |
| 01938 | Anesthesia for injection, drainage or aspiration procedures on spine or spinal cord of lower back accessed through skin using imaging guidance | 26 | 25 | $0 |
| 01940 | Anesthesia for nerve destruction procedures on spine or spinal cord of lower back accessed through skin using imaging guidance | 26 | 24 | $0 |
Insurance plans in this area (ZIP 42101)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | FL | |
| Certified Registered Nurse Anesthetist (Crna) | KY | |
| - | AR | |
| Certified Registered Nurse Anesthetist (Crna) | KY | |
| - | KY | |
| Certified Registered Nurse Anesthetist (Crna) | MS | |
| - | KY | |
| - | KY | |
| - | KY | |
| Certified Registered Nurse Anesthetist (Crna) | KY |
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