Active NPI
Brooklyn Paige Dillon, CRNA
- Certified Registered Nurse Anesthetist
- Beckley, WV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 106474
- Practice address
- 1710 Harper Rd
Beckley, WV 25801-3357 - Phone
- (304) 256-4076
- NPI assigned
- Jun 2, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 106474 | WV | Primary |
Addresses
Primary practice location
1710 Harper Rd
Beckley, WV 25801-3357
Mailing address
PO Box 2295
Asheville, NC 28802-2295
Phone (828) 398-5244
Other practice location 1
1320 Maplewood Ave
Ronceverte, WV 24970-8016
Phone (304) 647-4411
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588288948 | Medicaid | WV |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WV
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1710 Harper Rd
Beckley, WV 25801-3357
Phone (304) 256-4100
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medstream Anesthesia PLLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
Locations
1710 Harper Rd
Beckley, WV 25801
Phone (304) 252-0641
430 Main St W
Oak Hill, WV 25901
Phone (276) 325-0678
Organizations & group practices 1
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.
-
- Anesthesiology Physician
- Richardson, TX
- NPI 1649616160
Nurse Anesthetist, Certified Registered, WV
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Beckley, WV
- NPI 1629015698
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1591056000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1785715200000",
"number": "1588288948",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2295",
"city": "ASHEVILLE",
"state": "NC",
"postal_code": "288022295",
"telephone_number": "828-398-5244"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1710 HARPER RD",
"city": "BECKLEY",
"state": "WV",
"postal_code": "258013357",
"telephone_number": "304-256-4076"
}
],
"practiceLocations": [
{
"address_1": "1320 Maplewood Ave",
"address_purpose": "LOCATION",
"city": "Ronceverte",
"state": "WV",
"postal_code": "249708016",
"country_code": "US",
"telephone_number": "304-647-4411",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DILLON",
"first_name": "BROOKLYN",
"middle_name": "PAIGE",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-06-02",
"last_updated": "2026-08-03",
"certification_date": "2026-08-03",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "WV",
"license": "106474",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1588288948",
"state": "WV"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Beckley, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 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.