Individual provider Active NPI

Dustin C Bozwell, CRNA/ARNP

  • Certified Registered Nurse Anesthetist
  • Bloomfield, IA
National Provider Identifier
1245559343
Registry record updated Feb 9, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
D-111082 Issued in IA
Practice address
105 E Locust St
Bloomfield, IA 52537-0054
Phone
(641) 664-3602
Fax
(641) 664-3765
NPI assigned
May 28, 2010
Last updated
Feb 9, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2012

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X D-111082 IA Primary
Registered Nurse 163W00000X 2007013208 MO
Registered Nurse 163W00000X 14-100965-102 KS
Registered Nurse 163W00000X R98156 OK

Addresses

Primary practice location

105 E Locust St
Bloomfield, IA 52537-0054

Mailing address

PO Box 54
Bloomfield, IA 52537-0054
Phone (641) 664-3602

Other identifiers 1

IdentifierTypeStateIssuer
421417307-V5OtherIAUHC/RIVER VALLEY/JD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100928000029 IA Practitioner - Certified Registered Nurse Anesthetist (Crna) 3678699642 Reassigns benefits to 11 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mercy Medical Center-CentervilleGroup PAC ID 9739077652, shared by 4 NPIs, 37 clinicians
Jefferson County HospitalGroup PAC ID 9335059575, shared by 4 NPIs, 48 clinicians
Wayne County HospitalGroup PAC ID 4082508734, 46 clinicians
Monroe County HospitalGroup PAC ID 1759299217, shared by 4 NPIs, 26 clinicians

Practice addresses (Care Compare)

1 Saint Joseph Dr
Centerville, IA 52544-9017
Phone (641) 437-4111

2000 C S Main St
Fairfield, IA 52556-9572

2000 S Main
Fairfield, IA 52556-9572

2000 S Main St
Fairfield, IA 52556-9572
Phone (641) 472-4111

417 S E St
Corydon, IA 50060-1860

417 S E St
Corydon, IA 50060-1865
Phone (641) 872-2260

6580 165TH St
Albia, IA 52531-8793
Phone (641) 932-2134

6582 165TH St
Albia, IA 52531-8793

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
14-100965-102KSMDRegistered Nurse
2007013208MOMDRegistered Nurse
R98156OKMDRegistered Nurse
D-111082IAMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
St Luke's Methodist Hospital Current Accepting new patients
Mercy Medical Center-Centerville CurrentSince Sep 24, 2013 Accepting new patients
Wayne County Hospital Current Accepting new patients
Monroe County Hospital Current Accepting new patients
Monroe County Hospital Current Accepting new patients
Jefferson County Hospital CurrentSince Jan 18, 2012 Accepting new patients
Van Buren County Hospital CurrentSince Sep 1, 2025 Accepting new patients
Mercy Medical Center-Centerville CurrentSince Jul 1, 2025 Accepting new patients
Jefferson County Hospital CurrentSince Jul 26, 2025 Accepting new patients
Wayne County Hospital CurrentSince Jan 1, 2018 Accepting new patients
Van Buren County Hospital Current Accepting new patients
Mercy Medical Center-Centerville Nurse Anesthetist, Certified Registered CurrentSince Sep 24, 2013 Accepting new patients
Van Buren County Hospital CurrentSince Sep 1, 2025 Accepting new patients
Medstream Anesthesia PLLC Nurse Anesthetist, Certified Registered CurrentSince Feb 1, 2024 Accepting new patients
Monroe County Hospital Nurse Anesthetist, Certified Registered CurrentSince Jan 1, 2025 Accepting new patients
Jefferson County Hospital CurrentSince Jan 18, 2012 Accepting new patients
Wayne County Hospital Nurse Anesthetist, Certified Registered CurrentSince Jan 1, 2018 Accepting new patients
Davis County Hospital Current Accepting new patients
Knoxville Area Anesthesia Services Nurse Anesthetist, Certified Registered Past Accepting new patients

Locations

6580 165th St
Albia, IA 52531
Phone (641) 932-1756

509 N Madison St
Bloomfield, IA 52537
Phone (641) 664-2145

1 Saint Joseph Dr
Centerville, IA 52544
Phone (641) 437-3482

1200 N 7th St
Chariton, IA 50049
Phone (515) 774-3000

417 S East St
Corydon, IA 50060
Phone (641) 872-2260

2000 S Main St
Fairfield, IA 52556
Phone (641) 469-4204

304 Franklin St
Keosauqua, IA 52565
Phone (319) 293-3171

1001 Pennsylvania Ave
Ottumwa, IA 52501
Phone (641) 472-4111

Interoperability endpoints

  • Direct secure messaging: dbozwell1191351@direct.unitypoint.org
  • Direct secure messaging: dbozwell86339@uihcdirect.org

Organizations & group practices 19

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

View all 19

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1275004800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1328745600000",
    "number": "1245559343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 54",
            "city": "BLOOMFIELD",
            "state": "IA",
            "postal_code": "525370054",
            "telephone_number": "641-664-3602",
            "fax_number": "641-664-3765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 E LOCUST ST",
            "city": "BLOOMFIELD",
            "state": "IA",
            "postal_code": "525370054",
            "telephone_number": "641-664-3602",
            "fax_number": "641-664-3765"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOZWELL",
        "first_name": "DUSTIN",
        "middle_name": "C",
        "credential": "CRNA/ARNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-05-28",
        "last_updated": "2012-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "IA",
            "license": "D-111082",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MO",
            "license": "2007013208",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "KS",
            "license": "14-100965-102",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OK",
            "license": "R98156",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UHC/RIVER VALLEY/JD",
            "identifier": "421417307-V5",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomfield, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.