Active NPI
Dustyn W. Auckerman, CRNA
- Certified Registered Nurse Anesthetist
- Bellefontaine, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- APRN.CRNA.11865
- Practice address
- 205 E Palmer Rd
Bellefontaine, OH 43311 - Phone
- (937) 592-4015
- Fax
- (937) 292-7148
- NPI assigned
- Sep 2, 2010
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | RN301597 | OH | |
| Certified Registered Nurse Anesthetist | 367500000X | APRN.CRNA.11865 | OH | Primary |
Addresses
Primary practice location
205 E Palmer Rd
Bellefontaine, OH 43311
Mailing address
205 E Palmer Rd
Bellefontaine, OH 43311-2281
Phone (937) 592-4015
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3123453 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1 Wyoming St
Dayton, OH 45409-2722
Phone (937) 208-8000
205 E Palmer Rd
Bellefontaine, OH 43311-2281
Phone (937) 592-4015
2400 Miami Valley Dr
Dayton, OH 45459-4774
Phone (937) 438-2400
Hospital & facility affiliations
- Upper Valley Medical Center
- Springfield Regional Medical Center
- Atrium Medical Center
- Mary Rutan Hospital
- Miami Valley Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APRN.CRNA.11865 | OH | MD | Certified Registered Nurse Anesthetist |
| RN301597 | OH | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mary Rutan Hospital | Current | Accepting new patients | |
| Arlington Anesthesia Partners LLC | Current | Accepting new patients | |
| Mary Rutan Hospital | Current | Accepting new patients | |
| Northstar Anesthesia of Ohio LLC | Current | Accepting new patients | |
| PHS Anesthesia Billing, LLC | Current | Accepting new patients | |
| Southwest Ohio Anesthesia Consultants LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Dayton Anesthesia & Pain Services, LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Mary Rutan Hospital | Past | Accepting new patients |
Locations
3535 Pentagon Blvd
Beavercreek, OH 45431
Phone (937) 702-4000
205 E Palmer Rd
Bellefontaine, OH 43311
Phone (937) 592-4015
7500 State Rd
Cincinnati, OH 45255
Phone (513) 624-4034
600 N Pickaway St
Circleville, OH 43113
Phone (614) 352-6479
405 W Grand Ave
Dayton, OH 45405
Phone (937) 226-3200
1 Wyoming St
Dayton, OH 45409
Phone (937) 208-2636
3000 Mack Rd
Hamilton, OH 45014
Phone (513) 870-7000
2615 E High St
Springfield, OH 45505
Phone (888) 861-3994
Organizations & group practices 8
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
- Circleville, OH
- NPI 1578209342
-
- General Acute Care Hospital
- Bellefontaine, OH
- NPI 1548254931
-
- Anesthesiology Physician
- Middletown, OH
- NPI 1578361044
-
- Anesthesiology Physician
- Dayton, OH
- NPI 1629401898
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Springfield, OH
- NPI 1417276429
-
- Anesthesiology Physician
- Cincinnati, OH
- NPI 1588645188
Nurse Anesthetist, Certified Registered
-
- Rural Health Clinic/Center
- Jackson Center, OH
- NPI 1528806510
-
- Family Medicine Physician
- West Liberty, OH
- NPI 1003875949
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Franklin, OH
- NPI 1700950060
-
- General Acute Care Hospital
- Springfield, OH
- NPI 1144286402
-
- General Acute Care Hospital
- Bellefontaine, OH
- NPI 1548254931
-
- General Acute Care Hospital
- Dayton, OH
- NPI 1073688354
-
- General Acute Care Hospital
- Troy, OH
- NPI 1184638942
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1283385600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1528243200000",
"number": "1801103452",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "205 E PALMER RD",
"city": "BELLEFONTAINE",
"state": "OH",
"postal_code": "433112281",
"telephone_number": "937-592-4015",
"fax_number": "937-292-7148"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "205 E PALMER RD",
"city": "BELLEFONTAINE",
"state": "OH",
"postal_code": "43311",
"telephone_number": "937-592-4015",
"fax_number": "937-292-7148"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AUCKERMAN",
"first_name": "DUSTYN",
"middle_name": "W.",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-09-02",
"last_updated": "2018-06-06",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "OH",
"license": "RN301597",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "OH",
"license": "APRN.CRNA.11865",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3123453",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bellefontaine, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2018; 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.