Active NPI
Dawn Marshall
- Certified Registered Nurse Anesthetist
- Dekalb, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 209.014549
- Practice address
- 1 Kish Hospital Dr
Dekalb, IL 60115-9602 - Phone
- (815) 748-2987
- NPI assigned
- Jul 24, 2016
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 5
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.
-
- Pain Medicine (Anesthesiology) Physician
- Aurora, IL
- NPI 1952308223
-
- Certified Registered Nurse Anesthetist
- Moline, IL
- NPI 1265051817
-
- Pain Medicine Physician
- Dekalb, IL
- NPI 1194722058
-
- Critical Access Hospital
- Morrison, IL
- NPI 1184844938
-
- General Acute Care Hospital
- Cedar Rapids, IA
- NPI 1083708226
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Bettendorf, IA
- NPI 1124110820
Care Compare affiliation Hospital
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Anesthesia Associates, LTDApollo Anesthesia and Pain Management PLLC
Practice addresses (Care Compare)
1 Kish Hospital Dr
Dekalb, IL 60115-9602
4500 Utica Ridge Rd
Bettendorf, IA 52722-1626
Phone (563) 742-5000
Hospital & facility affiliations
- Trinity - Bettendorf
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL, IA
Medicare enrollment records 2
Medicare enrollment files| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170307002212 | IL | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 1153605324 | Reassigns benefits to 4 organizations |
| I20220721000784 | IA | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 1153605324 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 209.014549 | IL | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Valley Pain Care Centers LTD | Current | Accepting new patients | |
| St Luke'S Methodist Hospital | Current | Accepting new patients | |
| Apollo Anesthesia and Pain Management, PLLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Anesthesia Associates, LTD | Current | Accepting new patients |
Locations
4500 Utica Ridge Rd
Bettendorf, IA 52722
Phone (563) 742-2724
1 Kish Hospital Dr
DeKalb, IL 60115
Phone (815) 754-1521
600 N College Ave
Geneseo, IL 61254
Phone (309) 944-6431
520 Valley View Dr
Ste 300
Moline, IL 61265
Phone (309) 762-1952
100 5th St
Oswego, IL 60543
Phone (630) 449-0085
1879 N Neltnor Blvd
West Chicago, IL 60185
Interoperability endpoints
- dmarshall894470@direct.unitypoint.org
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 209.014549 | IL | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
1 Kish Hospital Dr
Dekalb, IL 60115-9602
Mailing address
540 Cloverlane Dr
Sycamore, IL 60178-2302
Phone (815) 519-3259
Other names 1
NPPES NPI Registry- Dawn M Dirksen
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 24, 2016.
{
"created_epoch": "1469318400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1469318400000",
"number": "1457804692",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "540 CLOVERLANE DR",
"city": "SYCAMORE",
"state": "IL",
"postal_code": "601782302",
"telephone_number": "815-519-3259"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 KISH HOSPITAL DR",
"city": "DEKALB",
"state": "IL",
"postal_code": "601159602",
"telephone_number": "815-748-2987"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARSHALL",
"first_name": "DAWN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-07-24",
"last_updated": "2016-07-24",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "IL",
"license": "209.014549",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "DAWN",
"last_name": "DIRKSEN",
"middle_name": "M",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Dekalb, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2016; 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.