Dustin E Alspach, CRNA
Individual provider Active NPI Certified Registered Nurse Anesthetist · Newark, OH
NPI 1598067209 · NPPES record last updated Jul 25, 2024
Key facts
- NPI
- 1598067209
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Certified Registered Nurse Anesthetist 367500000X
- License
- APRNCRNA15246 (OH)
- Practice address
- 1320 West Main St
Newark, OH 43055 - Phone
- (220) 564-4226
- Fax
- (220) 564-4217
- NPI assigned
- Dec 1, 2010
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 11
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Midwest Physician Anesthesia Services, Inc.
Licking Memorial Health Professionals
Practice addresses (Care Compare)
1010 Refugee Rd
Pickerington, OH 43147-9653
Phone (615) 415-0000
120 McMillen Dr
Newark, OH 43055-1809
Phone (220) 564-4806
1320 W Main St
Newark, OH 43055-1822
2000 Tamarack Rd
Newark, OH 43055-1183
Phone (220) 564-4650
36 McMillen Dr
Newark, OH 43055-1809
Phone (220) 564-4270
88 McMillen Dr
Newark, OH 43055-1809
Phone (220) 564-4270
Hospital & facility affiliations
- Licking Memorial Hospital
- Grant Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 85.98 of 100
- Quality
- 75.66
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 75.38
Merit-based Incentive Payment System (MIPS)
- Final score
- 83 of 100
- Quality
- 80
- Improvement activities
- 40
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OH
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20140224001500 | OH | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 3173704848 | Reassigns benefits to 5 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2269181 | MA | MD | Certified Registered Nurse Anesthetist |
| APRNCRNA15246 | OH | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ohiohealth Corporation | Nurse Anesthetist, Certified Registered | Current |
Accepting new patients |
| Ohiohealth Corporation | Current |
Accepting new patients | |
| Licking Memorial Health Professionals | Current |
Accepting new patients | |
| Coshocton Anesthesia Professionals LTD | Nurse Anesthetist, Certified Registered | Current |
Accepting new patients |
| Licking Memorial Professional Corporation | Current |
Accepting new patients | |
| Midwest Physician Anesthesia Services, Inc. | Nurse Anesthetist, Certified Registered | Current |
Accepting new patients |
| Marion Area Physicians LLC | Current |
Accepting new patients | |
| Deperro Plastic Surgery, LLC | Past | Accepting new patients | |
| Licking Memorial Professional Corp. | Past | Accepting new patients | |
| Licking Memorial Professional Corporation | Past | Accepting new patients | |
| Umass Memorial Medical Group Inc | Past | Accepting new patients |
Locations
5151 Reed Rd
Ste 225C
Columbus, OH 43220
Phone (614) 457-2306
393 E Town St
Ste 116
Columbus, OH 43215
Phone (614) 566-9108
3535 Olentangy River Rd
Columbus, OH 43214
Phone (614) 566-1997
Dept L3652
Columbus, OH 43260
1460 Orange St
Coshocton, OH 43812
Phone (740) 545-7919
561 W Central Ave
Delaware, OH 43015
Phone (614) 566-9983
425 W 5th St
East Liverpool, OH 43920
Phone (330) 385-7200
1040 Delaware Ave
Marion, OH 43302
Phone (330) 256-9874
1050 Delaware Ave
Marion, OH 43302
Phone (740) 383-7038
120 McMillen Dr
Newark, OH 43055
Phone (220) 564-4806
1320 W Main St
Newark, OH 43055
Phone (740) 348-4151
1010 Refugee Rd
Pickerington, OH 43147
Phone (614) 587-7601
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 2269181 | MA | |
| Certified Registered Nurse Anesthetist | 367500000X | APRNCRNA15246 | OH | Yes |
Addresses
Primary practice location
1320 West Main St
Newark, OH 43055
Mailing address
1320 West Main St
Newark, OH 43055
Phone (220) 564-4226
Other practice location 1
1320 W Main St
Newark, OH 43055-1822
Phone (220) 564-4217
Other practice location 2
1320 W Main St
Newark, OH 43055-1822
Phone (220) 564-4217
Other practice location 3
1010 Refugee Rd
Pickerington, OH 43147-9653
Phone (614) 884-0641
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0097132 | Medicaid | OH |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | dalspach14449@lickingmemorial.medicity.net | Other | LICKING MEMORIAL PROFESSIONAL CORPORATION |
| Direct Messaging Address | dalspach14449@lickingmemorial.medicity.net | Other | LICKING MEMORIAL PROFESSIONAL CORPORATION |
Other providers in Newark, OH
- Erin Allen
- Heather Allen
- Nancy A Allen
- Cassie Ann Aller
- Suzette C Almeida-Hamilton
- Bianka Alston
- Altercare Newark North, Inc.
- Altercare Newark South, Inc.
- Michele L Althouse
- American Eagle Newark LLC
All providers in Newark, OH · Certified Registered Nurse Anesthetist in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 25, 2024. 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.