MR. SCOTT MICHAEL DICKERSON CRNA
NPI 1114237914
Nurse Anesthetist, Certified Registered in Elyria, OH

Active since October 14, 2010Accepts Medicare Assignment
630 E RIVER ST, ELYRIA, OH 44035(440) 329-7536 Get Directions Write a Review

NPPES record last updated: October 14, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. Scott Michael Dickerson Crna NPPES

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

MR. SCOTT MICHAEL DICKERSON CRNA (NPI 1114237914) is an individual nurse anesthetist, certified registered in Elyria, Ohio, licensed in Ohio (318582) and active in the NPI registry since October 2010. He is affiliated with University Hospitals - Elyria Medical Center and is a graduate of Other (2010).

NPPES Registry Identity

NPI1114237914
Entity TypeIndividualMale
Primary Taxonomy367500000X
Provider Legal NameMR. SCOTT MICHAEL DICKERSONCredential: CRNA
Location Address630 E RIVER STElyria, OH 44035-5902
Mailing Address860 E Broad St, Suite IElyria, OH 44035-6542 · (440) 323-8458 · Fax (440) 323-7900
Sole ProprietorNo
Medical School CMSOtherGraduated 2010
Enumeration DateOctober 14, 2010
NPI 1114237914 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 OH · 318582
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.
630 E RIVER ST, Elyria, OH 44035

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Mr. Scott Michael Dickerson 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 ID8527252808
PECOS Enrollment IDI20101101000183

Areas of Expertise CMS Part B claims 7

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 other procedure on esophagus, stomach, or upper small bowel using an endoscope 00731
This procedure involves the use of an endoscope, a flexible tube with a light and camera, to examine your esophagus, stomach, or upper small bowel. Anesthesia ensures you are comfortable and pain-free during the procedure.
73 services68 patients
Anesthesia for exam of colon using an endoscope 00812
Anesthesia for a colon examination with an endoscope is a method used to ensure comfort during the procedure. It involves administering medication to help you relax or sleep, thus reducing discomfort as the endoscope, a thin, flexible tube, is navigated through your colon.
66 services66 patients
Anesthesia for other procedure on large bowel using an endoscope 00811
Anesthesia for an endoscopic procedure on the large bowel ensures comfort and relaxation during the procedure. You'll be given medication to make you drowsy or asleep, eliminating any discomfort. The medication can be administered through a vein or inhaled.
34 services34 patients
Anesthesia for procedure to assess heart electrical activity 00537
Anesthesia for a procedure to assess heart electrical activity helps ensure comfort and relaxation. It involves administering medication that either numbs a specific area or makes you sleep temporarily. This allows doctors to safely examine your heart's electrical signals without causing discomfort.
20 services20 patients
Anesthesia for procedure on small and large bowel using an endoscope 00813
Anesthesia for an endoscopic procedure on the small and large bowel ensures comfort and relaxation during the procedure. It involves administering medicine to help you sleep or feel drowsy. This allows the doctor to examine your bowels without causing you discomfort or pain.
18 services18 patients
Anesthesia for procedure to correct abnormal heart rhythm 00410
Anesthesia for a procedure to correct abnormal heart rhythm ensures you won't feel pain during the treatment. It can be general, where you're completely asleep, or local, numbing only a specific area. Your vital signs are monitored to ensure safety during the procedure.
17 services17 patients

Hospital Affiliations CMS Care Compare 2

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

University Hospitals - Elyria Medical Center

Acute Care Hospitals · Elyria, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360145
Location630 East River StreetElyria, OH 44035 · Lorain County

Mercy Regional Medical Center

Acute Care Hospitals · Lorain, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360172
Location3700 Kolbe RoadLorain, OH 44053 · Lorain County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 44035 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
$126.12 typical visit price
range $54.34 – $166.65
Typical copayment $31.53 (range $13.58 – $41.66)
Most-billed visit code 99204
Established Patient
$68.07 typical visit price
range $17.10 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
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.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Anesthetist, Certified Registered
630 E RIVER ST
ELYRIA, OH 44035
Nurse Practitioner (Critical Care Medicine)
630 E RIVER ST
ELYRIA, OH 44035
Physician Assistant
630 E RIVER ST
ELYRIA, OH 44035
Nurse Practitioner (Family)
630 E RIVER ST
ELYRIA, OH 44035
Nurse Practitioner (Adult Health)
630 E RIVER ST
ELYRIA, OH 44035
Emergency Medicine
630 E RIVER ST
ELYRIA, OH 44035
Anesthesiology
630 E RIVER ST
ELYRIA, OH 44035
Nurse Practitioner (Adult Health)
630 E RIVER ST
ELYRIA, OH 44035

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 Scott Dickerson's NPI number?

The NPI number for Scott Dickerson is 1114237914. It was assigned to this individual provider in the NPPES registry on October 14, 2010.

Where is Scott Dickerson located?

Scott Dickerson practices at 630 E River St, Elyria, OH 44035. The listed phone number is (440) 329-7536.

What is Scott Dickerson's specialty?

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

Is Scott Dickerson enrolled in Medicare?

Yes. Scott Dickerson 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.

Is Scott Dickerson affiliated with any hospitals?

According to CMS data, Scott Dickerson is affiliated with University Hospitals - Elyria Medical Center and Mercy Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Scott Dickerson was last updated on October 14, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.