Individual provider Active NPI

Nancy S. Dickerson, CRNA

  • Certified Registered Nurse Anesthetist
  • Fresno, CA
National Provider Identifier
1659301224
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
NA545 Issued in CA
Practice address
7152 N Sharon Ave
104
Fresno, CA 93720-3361
Phone
(559) 447-4898
NPI assigned
Jul 3, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X NA545 CA Primary

Addresses

Primary practice location

7152 N Sharon Ave
104
Fresno, CA 93720-3361

Mailing address

PO Box 3776
Pinedale, CA 93650-3776
Phone (559) 436-0871

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050808001164 CA Practitioner - Certified Registered Nurse Anesthetist (Crna) 0143206516 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Regional Anesthesia Associates IncGroup PAC ID 7810275096, 45 clinicians

Practice addresses (Care Compare)

1390 E Yosemite Ave
Suite B
Merced, CA 95340-8221
Phone (209) 580-3400

Merit-based Incentive Payment System (MIPS)

Final score
90.41 of 100Reported as group
Quality
87.02
Promoting interoperability
100
Improvement activities
40
Cost
78.21

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
NA545CAMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Regional Anesthesia Associates Inc CurrentSince Nov 18, 2019 Accepting new patients
Omni Anesthesia Associates, Inc. Nurse Anesthetist, Certified Registered CurrentSince Oct 12, 2013 Accepting new patients
Pain Management Specialists Medical Group CurrentSince Nov 26, 2013 Accepting new patients
Community Foundation Medical Group Current Accepting new patients
Comprehensive Anesthesia, a California Nursing Corporation Nurse Anesthetist, Certified Registered CurrentSince Jan 27, 2006 Accepting new patients
Valley Regional Anesthesia Associates Inc CurrentSince Dec 1, 2022 Accepting new patients
Pain Management Specialists Medical Group CurrentSince Nov 26, 2013 Accepting new patients
Community Foundation Medical Group CurrentSince Apr 1, 2022 Accepting new patients
Community Foundation Medical Group CurrentSince Apr 1, 2022 Accepting new patients
MD Cyrus Anesthesia LLC Nurse Anesthetist, Certified Registered Past Accepting new patients
Evexia Wellness Centers Inc Nurse Anesthetist, Certified Registered PastSince Nov 15, 2020 Accepting new patients

Locations (25 of 27)

4500 Morning Dr
Ste 102
Bakersfield, CA 93306
Phone (661) 437-4140

1700 Mount Vernon Ave
Bakersfield, CA 93306
Phone (616) 326-2000

9300 Stockdale Hwy
Ste 200
Bakersfield, CA 93311
Phone (661) 663-3700

2755 Herndon Ave
Clovis, CA 93611
Phone (559) 323-4000

6153 N Thesta St
Fresno, CA 93710
Phone (559) 432-5156

2335 E Kashian Ln
Ste 270
Fresno, CA 93701
Phone (559) 445-1251

7417 N Cedar Ave
Fresno, CA 93720
Phone 5594360871111

1843 E Fir Ave
Ste 104
Fresno, CA 93720
Phone (559) 323-6611

7152 N Sharon Ave
Ste 104
Fresno, CA 93720
Phone (559) 447-4898

7417 N Cedar Ave
Ste 101
Fresno, CA 93720
Phone (559) 437-5645

445 S Cedar Ave
Fresno, CA 93702
Phone (559) 459-4000

1332 W Herndon Ave
Ste 102
Fresno, CA 93711
Phone (559) 440-9640

27200 Calaroga Ave
Hayward, CA 94545
Phone (510) 264-2000

145 Trevino Ave
Manteca, CA 95337
Phone (209) 788-8180

1205 E North St
Manteca, CA 95336
Phone (209) 239-8301

1390 E Yosemite Ave
Ste B
Merced, CA 95340
Phone (209) 580-3400

609 E Orangeburg Ave
Bldg B
Modesto, CA 95350
Phone (209) 527-6700

1300 Mable Ave
Ste 1
Modesto, CA 95355
Phone (209) 571-1633

465 W Putnam Ave
Porterville, CA 93257
Phone (559) 784-8886

2900 Eureka Way
Redding, CA 96001
Phone (530) 225-8700

10 Santa Rosa St
Ste 201
Sn Luis Obisp, CA 93405
Phone (805) 544-7246

2388 N California St
Stockton, CA 95204
Phone (209) 465-2711

869 N Cherry St
Tulare, CA 93274
Phone (559) 326-2800

825 Delbon Ave
Turlock, CA 95382
Phone (209) 664-2744

1801 Colorado Ave
Ste 140
Turlock, CA 95382
Phone (209) 216-3470

Organizations & group practices 11

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.

NPI Registry JSON

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

{
    "created_epoch": "1151884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1659301224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3776",
            "city": "PINEDALE",
            "state": "CA",
            "postal_code": "936503776",
            "telephone_number": "559-436-0871",
            "fax_number": "559-436-5221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7152 N SHARON AVE",
            "address_2": "104",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937203361",
            "telephone_number": "559-447-4898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DICKERSON",
        "first_name": "NANCY",
        "middle_name": "S.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "CA",
            "license": "NA545",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresno, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.