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DYLAN JAMES MICHAEL HAMILTON REGISTERED NURSE
NPI 1124800362
Nurse Anesthetist, Certified Registered in Oshkosh, WI

Active since October 20, 2023PECOS EnrolledAccepts Medicare Assignment
1545 ARBORETUM DR APT 104, OSHKOSH, WI 54901(920) 450-6415 Get Directions Write a Review

NPPES record last updated: July 15, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 15, 2024, Oct 20, 2023 (2 updates tracked since 2023).

About Dylan James Michael Hamilton Registered Nurse NPPES

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

DYLAN JAMES MICHAEL HAMILTON REGISTERED NURSE (NPI 1124800362) is an individual nurse anesthetist, certified registered in Oshkosh, Wisconsin, licensed in Wisconsin (242220-30) and active in the NPI registry since October 2023. He is enrolled in Medicare PECOS, is affiliated with Thedacare Regional Medical Center - Appleton Inc, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1124800362
Entity TypeIndividualMale
Primary Taxonomy367500000X
Provider Legal NameDYLAN JAMES MICHAEL HAMILTONCredential: REGISTERED NURSE
Location Address1545 ARBORETUM DR APT 104Oshkosh, WI 54901-2794
Mailing Address1545 Arboretum Dr Apt 104Oshkosh, WI 54901-2794 · (920) 450-6415
Phone(920) 450-6415
Sole ProprietorYes
Medical School CMSOtherGraduated 2024
Enumeration DateOctober 20, 2023
Last NPPES UpdateJuly 15, 20242 updates tracked since enumeration
NPPES CertifiedJuly 15, 2024
✔ NPI 1124800362 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
License✔ Licensed in WI · 242220-30
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.
Also ListedRegistered NurseTaxonomy 163W00000X · License 242220 (WI)
1545 ARBORETUM DR APT 104, Oshkosh, WI 54901
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource (Common Ground Healthcare).Insurance ›

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

Dylan James Michael Hamilton Registered Nurse 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 ID5294271938
PECOS Enrollment IDI20240718001671
Eligible to Order & Refer✔ Part B Labs & Imaging– Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Dylan Hamilton reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Association Of Hospital Anesthesiologists Sc
12 mi
Anesthesiology
130 2ND ST, STE. A107
Neenah, WI 54956
  • Reassigned Medicare billing, Wisconsin enrollment
  • 144 clinicians in this Medicare group
NPI 1720076474 (920) 729-3332

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

Hospital Affiliations CMS Care Compare

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

Thedacare Regional Medical Center - Appleton Inc

Acute Care Hospitals · Appleton, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520160
Location1818 N Meade StAppleton, WI 54911 · Outagamie County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54901 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
$123.69 typical visit price
range $53.90 – $163.24
Typical copayment $30.92 (range $13.47 – $40.81)
Most-billed visit code 99204
Established Patient
$67.37 typical visit price
range $17.40 – $133.76
Typical copayment $16.84 (range $4.35 – $33.44)
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.

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 Dylan Hamilton's NPI number?

The NPI number for Dylan Hamilton is 1124800362. It was assigned to this individual provider in the NPPES registry on October 20, 2023.

Where is Dylan Hamilton located?

Dylan Hamilton practices at 1545 Arboretum Dr Apt 104, Oshkosh, WI 54901. The listed phone number is (920) 450-6415.

What is Dylan Hamilton's specialty?

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

Is Dylan Hamilton enrolled in Medicare?

Yes. Dylan Hamilton 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 organization bills Medicare for Dylan Hamilton's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Dylan Hamilton reassigns Medicare benefits to Association Of Hospital Anesthesiologists Sc (Neenah, WI). The 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 Dylan Hamilton's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Dylan Hamilton accept?

Health plans from CareSource (Common Ground Healthcare) list Dylan Hamilton as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Dylan Hamilton affiliated with any hospitals?

According to CMS data, Dylan Hamilton is affiliated with Thedacare Regional Medical Center - Appleton Inc.

When was this NPI record last updated?

The NPPES record for Dylan Hamilton was last updated on July 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.