Dustin Alan Dvoracek

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

293664 Issued in NC

Practice address

2000 Neuse Blvd
New Bern, NC 28560-3449

Phone

(252) 634-6638

NPI assigned

Mar 31, 2017

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 NC, SD, WI, MT, ID5 enrollments

Enrollment records 5

Specialty

Certified Registered Nurse Anesthetist (Crna)

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

St Alphonsus Professional Medical Services LLCGroup PAC ID 7214849751, 124 clinicians

Black Hills Surgical Hospital LLCGroup PAC ID 5496742835, 173 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Saint Alphonsus Medical Center - Nampa Hospital, Nampa, ID, CCN 130013
• Black Hills Surgical Hospital LLC Hospital, Rapid City, SD, CCN 430091

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: ddvoracek4261293@direct.trinity-health.org

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.

• Black Hills Surgical Hospital, LLC

  • Special Hospital
  • Rapid City, SD
  • NPI 1376896621
  Medicare reassignment Care Compare group NPD
• St Alphonsus Professional Medical Services LLC

  • Anesthesiology Physician
  • Boise, ID
  • NPI 1386677524
  Medicare reassignment Care Compare group NPD
• Billings Clinic

  • Emergency Care Clinic/Center
  • Billings, MT
  • NPI 1326104845
  Medicare reassignment NPD
• Memorial Hospital Association

  • Primary Care Clinic/Center
  • Red Lodge, MT
  • NPI 1184785099
  Medicare reassignment NPD
• Memorial Hospital Association

  • Critical Access Hospital
  • Red Lodge, MT
  • NPI 1336119338
  Medicare reassignment NPD
• Peloton Anesthesia, PLLC

  • Certified Registered Nurse Anesthetist
  • Rapid City, SD
  • NPI 1912596545

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Racine Anesthesia Services, LLC

  • Anesthesiology Physician
  • Mount Pleasant, WI
  • NPI 1467782748

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Carolinaeast Medical Center

  • Certified Registered Nurse Anesthetist
  • New Bern, NC
  • NPI 1710923875
  Medicare reassignment
• Black Hills Surgical Hospital, LLC

  • Urgent Care Clinic/Center
  • Rapid City, SD
  • NPI 1336009646
  Medicare reassignment
• Billings Clinic

  • General Practice Physician
  • Billings, MT
  • NPI 1376598714
  NPD
• Billings Clinic

  • Physical Therapist
  • Billings, MT
  • NPI 1740630268
  NPD
• Black Hills Surgical Hospital, LLC

  • Anesthesiology Physician
  • Rapid City, SD
  • NPI 1972630275
  NPD

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

• Black Hills Surgical Hospital, LLC

  • Special Hospital
  • Rapid City, SD
  • NPI 1679535132
  Care Compare affiliation
• Saint Alphonsus Medical Center Nampa, Inc.

  • General Acute Care Hospital
  • Nampa, ID
  • NPI 1659371870
  Care Compare affiliation

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

{
    "created_epoch": "1490918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652227200000",
    "number": "1578095246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 NEUSE BLVD",
            "city": "NEW BERN",
            "state": "NC",
            "postal_code": "285603449",
            "telephone_number": "252-634-6638"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 NEUSE BLVD",
            "city": "NEW BERN",
            "state": "NC",
            "postal_code": "285603449",
            "telephone_number": "252-634-6638"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DVORACEK",
        "first_name": "DUSTIN",
        "middle_name": "ALAN",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-03-31",
        "last_updated": "2022-05-11",
        "certification_date": "2022-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NC",
            "license": "293664",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephen R Durci, CRNA
• Michelle Renee Durden, M.A., CCC-SLP
• Lynn E Durham, LCSW
• Yashia Durham, MA, MSW, LCSWA
• April Dawn Durning, FNP
• Todd Bryan Dykstra, PA
• Danielle Dyson
• Jennifer S Dziwanowski, NP
• Adrienne Pak Earle, O.D.
• Marcus Earle, D.O.

• Certified Registered Nurse Anesthetist in New Bern, NC
• Providers in New Bern, NC by specialty
• Certified Registered Nurse Anesthetist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2022; 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.