Dallin Lee Bracken, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

28057.1046 Issued in WY

Practice address

501 S Burma Ave
Gillette, WY 82716-3426

Phone

(307) 688-1000

NPI assigned

Apr 9, 2010

Last updated

Oct 27, 2010By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NV

Enrollment records 1

Specialty

Certified Registered Nurse Anesthetist (Crna)

Education

Other, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Collins Carson City Anesthesia LLCGroup PAC ID 5799141016, 9 clinicians

Lifelinc Anesthesia Nevada PCGroup PAC ID 8921431800, 5 clinicians

Gastroenterology Consultants LTDGroup PAC ID 0941107478, 39 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Banner Churchill Community Hospital Hospital, Fallon, NV, CCN 291313

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

State licenses

Practice roles

Locations

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.

• Collins Carson City Anesthesia LLC

  • Certified Registered Nurse Anesthetist
  • Carson City, NV
  • NPI 1285330423

  Nurse Anesthetist, Certified Registered

  Medicare reassignment Care Compare group NPD
• Gastroenterology Consultants, LTD

  dba GI Consultants, Ltd.

  • Specialist
  • Reno, NV
  • NPI 1144218512
  Medicare reassignment Care Compare group NPD
• Lifelinc Anesthesia Nevada, P.C.

  • Anesthesiology Physician
  • Fallon, NV
  • NPI 1851950463

  Nurse Anesthetist, Certified Registered

  Medicare reassignment Care Compare group NPD
• William Bee Ririe Hospital

  • Critical Access Hospital
  • Ely, NV
  • NPI 1487648804
  Medicare reassignment NPD
• William Bee Ririe Hospital

  • Family Nurse Practitioner
  • Crescent Valley, NV
  • NPI 1699284901
  NPD
• William Bee Ririe Retail Pharmacy

  • Community/Retail Pharmacy
  • Ely, NV
  • NPI 1831729268
  NPD
• South Meadows Endoscopy Center, LLC

  • Ambulatory Surgical Clinic/Center
  • Reno, NV
  • NPI 1851444079
  NPD (past)

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

• Banner Churchill Community Hospital

  • Critical Access Hospital
  • Fallon, NV
  • NPI 1265811251
  Care Compare affiliation

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

{
    "created_epoch": "1270771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1288137600000",
    "number": "1336465798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 W LAKEWAY RD",
            "city": "GILLETTE",
            "state": "WY",
            "postal_code": "827185773",
            "telephone_number": "307-689-9772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 S BURMA AVE",
            "city": "GILLETTE",
            "state": "WY",
            "postal_code": "827163426",
            "telephone_number": "307-688-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRACKEN",
        "first_name": "DALLIN",
        "middle_name": "LEE",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-04-09",
        "last_updated": "2010-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "WY",
            "license": "28057.1046",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tatum Bourgeois, PPC
• Nick A. Bouzis, D.D.S.
• Judith M Boyle, M.D.
• Adel Bozorgzadeh, MD
• Kayla Marie Braaton
• Alison M Brady, PA-C
• Heather Rae Brafford
• Anna Christine Bridge
• Bridges Habilitation Services, Inc. (Bridges)
• Bridges Habilitation Services, Inc. (Bridges)

• Certified Registered Nurse Anesthetist in Gillette, WY
• Providers in Gillette, WY by specialty
• Certified Registered Nurse Anesthetist in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2010; 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.