Dustin Sharp
Individual provider Active NPI Certified Registered Nurse Anesthetist · Price, UT
NPI 1336775675 · NPPES record last updated Feb 21, 2022
Key facts
- NPI
- 1336775675
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Certified Registered Nurse Anesthetist 367500000X
- License
- 7534637-4406 (UT)
- Practice address
- 300 N Hospital Dr
Price, UT 84501-4218 - Phone
- (435) 637-4800
- NPI assigned
- Mar 18, 2020
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Pinnacle Anesthesia Associates, LLC
Practice addresses (Care Compare)
300 N Hospital Dr
Castleview Hospital
Price, UT 84501-4200
Phone (435) 637-4800
Hospital & facility affiliations
- Castleview Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in UT
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20211213002417 | UT | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 6507287067 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7534637-3102 | UT | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pinnacle Anesthesia Associates, LLC | Current |
Accepting new patients |
Locations
300 N Hospital Dr
Price, UT 84501
Phone (435) 636-4836
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 7534637-3102 | UT | |
| Certified Registered Nurse Anesthetist | 367500000X | 7534637-4406 | UT | Yes |
Addresses
Primary practice location
300 N Hospital Dr
Price, UT 84501-4218
Mailing address
1909 Declaration Dr
Price, UT 84501-7409
Phone (801) 917-0540
Other providers in Price, UT
- Scott C Justesen, MD, PC
- J. Stewart Scoville
- Mary Diane Scow
- Steven Scow
- Shane D Gagon MD, PC
- Miranda Shaw
- Brittany Smith
- Kevin Smith
- Paul Kirsten Smith
- Smiths Food & Drug Centers Inc
All providers in Price, UT · Certified Registered Nurse Anesthetist in Utah
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 21, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.