DALLIN LEE BRACKEN (CRNA) – Certified Registered Nurse Anesthetist, NPI 1336465798

DALLIN LEE BRACKEN (CRNA) is a healthcare provider. based in Gillette, Wyoming. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials CRNA. They hold a License No. 28057.1046 (WY). The NPI Number for DALLIN LEE BRACKEN (CRNA) is 1336465798

Main info

Male
17 Years Of Experience
Accepts Medicare Assignment
Name
DALLIN LEE BRACKEN (CRNA)
NPI
1336465798
Phone
(307) 688-1000
Address
501 S BURMA AVE
Enumeration Date
9 April 2010
Last Update Date
27 October 2010

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7758844567
Graduation Year
2009 (17 years ago)
PAC ID
1355475666
Group Practice PAC ID
5799141016
Professional Enrollment ID
I20141006002412
Address ID
NV897034643CA1385XLNXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience46
Completeness75
Years active:16State licenses:1Digital endpointsOther names

70 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in WY

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Provider Addresses for DALLIN LEE BRACKEN (CRNA)

  • Campbell County Health, 501, South Burma Avenue, Gillette, Campbell County, Wyoming, 82716, United States

    GILLETTE, WY 827163426

    Phone: (307) 688-1000

    Type: Location

  • 2001, West Lakeway Road, Gillette, Campbell County, Wyoming, 82718, United States

    GILLETTE, WY 827185773

    Phone: (307) 689-9772

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $18.

Total Amount is formed as General ($18) + Research ($0) + Ownership ($0) = $18.

Last reported payment date: 2024-05-08 • Largest payer in this snapshot: Intercept Pharmaceuticals, Inc. ($18).

Total Amount

$18

General + Research + Ownership

Payments

1

Total payment records

General Amount

$18

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-05-08

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: 2014-10-06

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
I20141006002412ICertified Registered Nurse Anesthetist (Crna)NVTBD

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
00811Anesthesia for other procedure on large bowel using an endoscope5353$0
00812Anesthesia for exam of colon using an endoscope3636$0
00142Anesthesia for lens surgery3429$0
00731Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope2626$0
00813Anesthesia for procedure on small and large bowel using an endoscope2020$0
View full utilization report →

Insurance plans in this area (ZIP 82716)

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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: 5799141016View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)FL
Certified Registered Nurse Anesthetist (Crna)WA
Certified Registered Nurse Anesthetist (Crna)VA
Certified Registered Nurse Anesthetist (Crna)UT
Certified Registered Nurse Anesthetist (Crna)OK

Reviews

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Frequently asked questions

Does DALLIN LEE BRACKEN (CRNA) have a public NPI I can cite?
Public records show DALLIN LEE BRACKEN (CRNA) under NPI 1336465798.
Is DALLIN LEE BRACKEN (CRNA) currently accepting referrals based on NPI status?
Registry metadata lists DALLIN LEE BRACKEN (CRNA) as active.
What type of care does DALLIN LEE BRACKEN (CRNA) provide?
DALLIN LEE BRACKEN (CRNA)'s profile centers on Certified Registered Nurse Anesthetist. Clinical services aligned with this taxonomy classification.
Can patients visit DALLIN LEE BRACKEN (CRNA) in Gillette, Wyoming?
For routing, start with Gillette, Wyoming for DALLIN LEE BRACKEN (CRNA), then verify phone and hours locally.
Can I export DALLIN LEE BRACKEN (CRNA)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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