MR. MICHAEL DOUGLAS DIXON (CRNA) – Certified Registered Nurse Anesthetist, NPI 1285869669

MR. MICHAEL DOUGLAS DIXON (CRNA) is a healthcare provider. based in Henderson, Nevada. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials CRNA. They hold a License No. 703985 (TX). The NPI Number for MR. MICHAEL DOUGLAS DIXON (CRNA) is 1285869669

Main info

Male
18 Years Of Experience
Accepts Medicare Assignment
Name
MR. MICHAEL DOUGLAS DIXON (CRNA)
NPI
1285869669
Phone
(702) 564-4440
Address
129 W LAKE MEAD PKWY STE B-18
Enumeration Date
28 May 2009
Last Update Date
20 January 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2008 (18 years ago)
PAC ID
6103004700
Group Practice PAC ID
2062419377
Professional Enrollment ID
I20230609001303
Address ID
VA236011630Ne760XXFLXX401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience67
Completeness85
Years active:17State licenses:2Digital endpointsOther names

194 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in NV

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Provider Addresses for MR. MICHAEL DOUGLAS DIXON (CRNA)

  • 129 W LAKE MEAD PKWY STE B-18

    HENDERSON, NV 890156954

    Phone: (702) 564-4440

    Type: Mailing

  • 129, Lake Mead Parkway, Water Street District, Henderson, Clark County, Nevada, 89015, United States

    SUITE B-18

    HENDERSON, NV 890157055

    Phone: (702) 564-4440

    Type: Location

  • 129, West Lake Mead Parkway, Water Street District, Henderson, Clark County, Nevada, 89015, United States

    SUITE B-18

    HENDERSON, NV 89015

    Phone: (702) 564-4440

    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: 2023-06-09

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20181106000132ICertified Registered Nurse Anesthetist (Crna)FLTBD
I20230609001303ICertified Registered Nurse Anesthetist (Crna)VATBD

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
01402Anesthesia for procedure for total knee joint replacement3030$0
01214Anesthesia for total hip replacement1313$0
View full utilization report →

Insurance plans in this area (ZIP 89015)

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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: 2062419377View full group profile
NameSpecialtyState
A N E S T H E S I O L O G YVA
Certified Registered Nurse Anesthetist (Crna)FL
Certified Registered Nurse Anesthetist (Crna)VA
A N E S T H E S I O L O G YVA
-GA
-VA
Certified Registered Nurse Anesthetist (Crna)VA
-VA
Certified Registered Nurse Anesthetist (Crna)AZ
Certified Registered Nurse Anesthetist (Crna)MD

Reviews

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Frequently asked questions

What is MR. MICHAEL DOUGLAS DIXON (CRNA)'s NPI number?
MR. MICHAEL DOUGLAS DIXON (CRNA)'s NPI is 1285869669 — the number used across U.S. healthcare to identify this provider.
Is there an active status for MR. MICHAEL DOUGLAS DIXON (CRNA)?
For scheduling context, MR. MICHAEL DOUGLAS DIXON (CRNA) is shown as active in the registry.
What clinical focus is listed for MR. MICHAEL DOUGLAS DIXON (CRNA)?
At a glance, MR. MICHAEL DOUGLAS DIXON (CRNA) is tied to Certified Registered Nurse Anesthetist. Clinical services aligned with this taxonomy classification.
What locale is associated with MR. MICHAEL DOUGLAS DIXON (CRNA)?
Directory geography for MR. MICHAEL DOUGLAS DIXON (CRNA) centers on Henderson, Nevada.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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