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TIMOTHY J DYKSTRA CRNA
NPI 1104261510
Nurse Anesthetist, Certified Registered in Crown Point, IN

Active since April 30, 2013Accepts Medicare Assignment
83.16/100
CMS Quality Rating
1201 N MAIN ST, CROWN POINT, IN 46307(219) 757-6077 Get Directions Write a Review

NPPES record last updated: April 30, 2013. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Timothy J Dykstra Crna NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TIMOTHY J DYKSTRA CRNA (NPI 1104261510) is an individual nurse anesthetist, certified registered in Crown Point, Indiana, licensed in Indiana (28206675A) and active in the NPI registry since April 2013. He is affiliated with Franciscan Health Crown Point and is a graduate of Other (2013).

NPPES Registry Identity

NPI1104261510
Entity TypeIndividualMale
Primary Taxonomy367500000X
Provider Legal NameTIMOTHY J DYKSTRACredential: CRNA
Location Address1201 N MAIN STCrown Point, IN 46307-2716
Mailing Address9318 Monroe Ct, Apt 509Crown Point, IN 46307-6216 · (708) 691-1332
Phone(219) 757-6077
Sole ProprietorYes
Medical School CMSOtherGraduated 2013
Enumeration DateApril 30, 2013
✔ NPI 1104261510 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
License✔ Licensed in IN · 28206675A
Definition
(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.
1201 N MAIN ST, Crown Point, IN 46307
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Timothy J Dykstra Crna is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9335381193
PECOS Enrollment IDI20130808000066

Medicare Billing Reassignments

2

Medicare enrollment records show Timothy Dykstra reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Northstar Anesthesia Of Indiana II, LLC
791 mi
Anesthesiology
6225 N STATE HIGHWAY 161, SUITE 200
Irving, TX 75038
  • Reassigned Medicare billing, Indiana enrollment
  • 83 clinicians in this Medicare group
NPI 1629475421 (214) 687-0675
Northstar Anesthesia Of Indiana LLC
802 mi
Anesthesiology
2000 E LAMAR BLVD, SUITE 400
Arlington, TX 76006
  • Reassigned Medicare billing, Indiana enrollment
  • 287 clinicians in this Medicare group
NPI 1043561541 (682) 227-6839

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Anesthesia for lens surgery 00142
Anesthesia for lens surgery involves administering medication to numb the eye area, ensuring you feel no pain during the procedure. This can be a local anesthetic (numbing only the eye area) or general (where you're asleep). It helps make the surgery comfortable and stress-free.
14 services13 patients
Anesthesia for injection, drainage or aspiration procedures on spine or spinal cord of lower back accessed through skin using imaging guidance 01938
This procedure involves using anesthesia to numb your lower back for certain procedures like injections, drainage, or aspiration on your spine or spinal cord. Imaging guidance is used to accurately locate the area to be treated, ensuring precision and safety.
13 services12 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Franciscan Health Crown Point

Acute Care Hospitals · Crown Point, IN
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number150126
Location12750 Saint Francis DriveCrown Point, IN 46307 · Lake County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46307 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$122.49 typical visit price
range $53.07 – $161.76
Typical copayment $30.62 (range $13.26 – $40.44)
Most-billed visit code 99204
Established Patient
$66.48 typical visit price
range $16.93 – $132.22
Typical copayment $16.62 (range $4.23 – $33.05)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

83.16/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality80.19
Improvement Activities40

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Timothy Dykstra's NPI number?

The NPI number for Timothy Dykstra is 1104261510. It was assigned to this individual provider in the NPPES registry on April 30, 2013.

Where is Timothy Dykstra located?

Timothy Dykstra practices at 1201 N Main St, Crown Point, IN 46307. The listed phone number is (219) 757-6077.

What is Timothy Dykstra's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Is Timothy Dykstra enrolled in Medicare?

Yes. Timothy Dykstra is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Timothy Dykstra's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Timothy Dykstra reassigns Medicare benefits to 2 organizations: Northstar Anesthesia Of Indiana II, LLC (Irving, TX) and Northstar Anesthesia Of Indiana LLC (Arlington, TX). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Timothy Dykstra's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Timothy Dykstra affiliated with any hospitals?

According to CMS data, Timothy Dykstra is affiliated with Franciscan Health Crown Point.

When was this NPI record last updated?

The NPPES record for Timothy Dykstra was last updated on April 30, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.