NPIMap

Individual provider Active NPI

Steven John Dickerson, CRNA

  • Certified Registered Nurse Anesthetist
  • Jackson, MI
National Provider Identifier
1013986587
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
4704111182 Issued in MI
Practice address
6700 S Jackson Rd
Jackson, MI 49201-9771
Phone
(517) 789-5481
Fax
(517) 782-7926
NPI assigned
Mar 16, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 4704111182 MI Primary

Addresses

Primary practice location

6700 S Jackson Rd
Jackson, MI 49201-9771

Mailing address

6700 S Jackson Rd
Jackson, MI 49201-9771
Phone (517) 789-5481

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Memorial Hospital Nurse Anesthetist, Certified Registered Past Accepting new patients
Resource Anesthesiology Associates of Mi PC Past Accepting new patients
Morgan Medical Management, PC Nurse Anesthetist, Certified Registered Past Accepting new patients
Life Care Anesthesiologist PC Nurse Anesthetist, Certified Registered Past Accepting new patients
Covenant Medical Center, Inc Past Accepting new patients
Saint Joseph Mercy Livingston Hospital Nurse Anesthetist, Certified Registered Past Accepting new patients
Mymichigan Medical Center Tawas Past Accepting new patients
Henry Ford Health River District Hospital Nurse Anesthetist, Certified Registered Past Accepting new patients
Sparrow Carson Hospital Nurse Anesthetist, Certified Registered Past Accepting new patients
Great Lakes Anesthesia, P.C. Nurse Anesthetist, Certified Registered Past Accepting new patients

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1142467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1013986587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6700 S JACKSON RD",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492019771",
            "telephone_number": "517-789-5481",
            "fax_number": "517-782-7926"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6700 S JACKSON RD",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492019771",
            "telephone_number": "517-789-5481",
            "fax_number": "517-782-7926"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DICKERSON",
        "first_name": "STEVEN",
        "middle_name": "JOHN",
        "name_prefix": "Mr.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-16",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MI",
            "license": "4704111182",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.