ASHLEY ANN DICK – Certified Registered Nurse Anesthetist, NPI 1609361609

ASHLEY ANN DICK is a healthcare provider. based in Plymouth, Minnesota. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold a License No. R195489-6 (MN). The NPI Number for ASHLEY ANN DICK is 1609361609

Main info

Female
8 Years Of Experience
Accepts Medicare Assignment
Name
ASHLEY ANN DICK
NPI
1609361609
Phone
(763) 559-3779
Address
14700 28TH AVE N STE 20
Enumeration Date
22 June 2018
Last Update Date
11 October 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7632366786
Graduation Year
2018 (8 years ago)
PAC ID
1456604644
Group Practice PAC ID
5698689123
Professional Enrollment ID
I20181106001335
Address ID
MN554332522CO4050XNWXX500
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience37
Completeness75
Years active:7State licenses:2Digital endpointsOther names

2,131 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in MN

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Provider Addresses for ASHLEY ANN DICK

  • 28th Avenue North, Plymouth, Hennepin County, Minnesota, 55446:55447, United States

    PLYMOUTH, MN 55447

    Phone: (763) 559-3779

    Fax: (763) 450-3986

    Type: Location

  • 800 E 28th St

    Minneapolis, MN 554073723

    Phone: (612) 863-4000

    Type: Location

  • 12106 Waconia Cir NE

    Blaine, MN 554495532

    Phone: (763) 242-0247

    Type: Location

  • 14700 28th Ave N Ste 20

    Plymouth, MN 55447

    Phone: (763) 559-3779

    Fax: (763) 450-3986

    Type: Location

  • The Box, Tavistock Place, Barbican, Plymouth, South West England, England, PL4 8AU, United Kingdom

    PLYMOUTH, MN 554470159

    Phone: (763) 559-3779

    Fax: (763) 450-3986

    Type: Mailing

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: 2018-11-06

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
I20181106001335ICertified Registered Nurse Anesthetist (Crna)MNTBD

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
00731Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope1413$0
View full utilization report →

Insurance plans in this area (ZIP 55447)

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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: 5698689123View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)MN
Certified Registered Nurse Anesthetist (Crna)MN
Certified Registered Nurse Anesthetist (Crna)MN
Certified Registered Nurse Anesthetist (Crna)MN
-MN
-MN
-MN
-MN
A N E S T H E S I O L O G YMN
A N E S T H E S I O L O G YMN

Reviews

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Frequently asked questions

How do I look up ASHLEY ANN DICK by NPI?
Use NPI 1609361609 when you need to reference ASHLEY ANN DICK in forms, claims, or directories.
Does this profile mean ASHLEY ANN DICK is currently active?
Yes — ASHLEY ANN DICK appears active in the national provider directory.
What kind of provider is ASHLEY ANN DICK?
The page reflects Certified Registered Nurse Anesthetist for ASHLEY ANN DICK. Clinical services aligned with this taxonomy classification.
Where is ASHLEY ANN DICK's primary listing?
We display Plymouth, Minnesota because that is what the record indicates for ASHLEY ANN DICK.
How can I contact ASHLEY ANN DICK?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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