Individual provider Active NPI

Michael Douglas Dixon, CRNA

  • Certified Registered Nurse Anesthetist
  • Henderson, NV
National Provider Identifier
1285869669
Registry record updated Jan 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
0024183179 Issued in VA
Practice address
129 W Lake Mead Pkwy
Suite B-18
Henderson, NV 89015-7055
Phone
(702) 564-4440
NPI assigned
May 28, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 703985 TX
Certified Registered Nurse Anesthetist 367500000X 0024183179 VA Primary

Addresses

Primary practice location

129 W Lake Mead Pkwy
Suite B-18
Henderson, NV 89015-7055

Mailing address

129 W Lake Mead Pkwy Ste B-18
Henderson, NV 89015-6954
Phone (702) 564-4440

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, VA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20181106000132 FL Practitioner - Certified Registered Nurse Anesthetist (Crna) 6103004700 Reassigns benefits to 1 organization
I20230609001303 VA Practitioner - Certified Registered Nurse Anesthetist (Crna) 6103004700 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
SMG Anesthesia Specialists LLCGroup PAC ID 6305081118, 501 clinicians

Practice addresses (Care Compare)

1305 Walt Whitman Rd
Suite 300
Melville, NY 11747-4300

19455 Deerfield Ave
Suite 204
Leesburg, VA 20176-8102
Phone (703) 724-9950

2 Bernadine Dr
Newport News, VA 23602-4404
Phone (757) 886-6000

500 Martha Jefferson Dr
Charlottesville, VA 22911-4668
Phone (434) 654-7000

760 McGuire PL
Newport News, VA 23601-1630

760 McGuire PL FL
Suite 2
Newport News, VA 23601-1630

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
703985TXMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
SMG Anesthesia Specialists LLC CurrentSince Jul 9, 2023 Accepting new patients
American Anesthesiology of Virginia, PC CurrentSince Jan 1, 2026 Accepting new patients
American Anesthesiology of Virginia PC CurrentSince Jan 1, 2026 Accepting new patients
Ams National LLC Nurse Anesthetist, Certified Registered CurrentSince Sep 1, 2018 Accepting new patients
Virginia Anesthesia and Perioperative Care Specialists LLC CurrentSince Feb 10, 2023 Accepting new patients
John T Goodsell DO PC Gregory Linderer MD LTD PastSince Nov 18, 2009 Accepting new patients

Locations

6002 Berryhill Rd
Milton, FL 32570
Phone (850) 474-8688

500 Martha Jefferson Dr
Charlottesvle, VA 22911
Phone (434) 654-7000

19455 Deerfield Ave
Ste 204
Leesburg, VA 20176
Phone (703) 724-9950

760 McGuire Pl
Fl 2
Newport News, VA 23601
Phone (757) 591-2260

2025 Glenn Mitchell Dr
Virginia Beach, VA 23456
Phone (757) 507-1000

Organizations & group practices 6

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.

Hospital & facility affiliations 1

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": "1243468800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768867200000",
    "number": "1285869669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "129 W LAKE MEAD PKWY STE B-18",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890156954",
            "telephone_number": "702-564-4440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "129 W LAKE MEAD PKWY",
            "address_2": "SUITE B-18",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890157055",
            "telephone_number": "702-564-4440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIXON",
        "first_name": "MICHAEL",
        "middle_name": "DOUGLAS",
        "name_prefix": "Mr.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-05-28",
        "last_updated": "2026-01-20",
        "certification_date": "2026-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TX",
            "license": "703985",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "VA",
            "license": "0024183179",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Henderson, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2026; 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.