Active NPI
Dustin C Bozwell, CRNA/ARNP
- Certified Registered Nurse Anesthetist
- Bloomfield, IA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- D-111082
- 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, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 421417307-V5 | Other | IA | UHC/RIVER VALLEY/JD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA
Enrollment records 1
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-CentervilleJefferson County HospitalMonroe County Hospital
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
| License | State | Type | Specialty |
|---|---|---|---|
| 14-100965-102 | KS | MD | Registered Nurse |
| 2007013208 | MO | MD | Registered Nurse |
| R98156 | OK | MD | Registered Nurse |
| D-111082 | IA | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St Luke's Methodist Hospital | Current | Accepting new patients | |
| Mercy Medical Center-Centerville | Current | 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 | Current | Accepting new patients | |
| Van Buren County Hospital | Current | Accepting new patients | |
| Mercy Medical Center-Centerville | Current | Accepting new patients | |
| Jefferson County Hospital | Current | Accepting new patients | |
| Wayne County Hospital | Current | Accepting new patients | |
| Van Buren County Hospital | Current | Accepting new patients | |
| Mercy Medical Center-Centerville | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Van Buren County Hospital | Current | Accepting new patients | |
| Medstream Anesthesia PLLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Monroe County Hospital | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Jefferson County Hospital | Current | Accepting new patients | |
| Wayne County Hospital | Nurse Anesthetist, Certified Registered | Current | 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
- dbozwell1191351@direct.unitypoint.org
- 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.
-
- Critical Access Hospital
- Corydon, IA
- NPI 1174599468
-
- Critical Access Hospital
- Bloomfield, IA
- NPI 1942255666
-
dba Jefferson County Health Center
- Critical Access Hospital
- Fairfield, IA
- NPI 1376648329
-
dba JCHC Richland Clinic
- Rural Health Clinic/Center
- Richland, IA
- NPI 1881294536
-
dba Mercyone Centerville Medical Center
- Critical Access Hospital
- Centerville, IA
- NPI 1356391635
-
- Emergency Care Clinic/Center
- Centerville, IA
- NPI 1528018801
Nurse Anesthetist, Certified Registered
-
- Critical Access Hospital
- Albia, IA
- NPI 1205895299
-
- Emergency Medicine Physician
- Keosauqua, IA
- NPI 1316063076
-
- Critical Access Hospital
- Keosauqua, IA
- NPI 1508810714
-
- Anesthesiology Physician
- Richardson, TX
- NPI 1649616160
IA, Nurse Anesthetist, Certified Registered
-
dba JCHC Provider Services
- Family Medicine Physician
- Fairfield, IA
- NPI 1245643972
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Bloomfield, IA
- NPI 1942255666
-
dba Jefferson County Health Center
- Critical Access Hospital
- Fairfield, IA
- NPI 1376648329
-
dba Mercyone Centerville Medical Center
- Critical Access Hospital
- Centerville, IA
- NPI 1356391635
-
- Critical Access Hospital
- Albia, IA
- NPI 1205895299
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.