DYLAN T OUELLETTE CRNA
NPI 1316439714
Nurse Anesthetist, Certified Registered in Portland, ME

Q: What is Dylan Ouellette's NPI number?

The NPI number for Dylan Ouellette is 1316439714. It was assigned to this individual provider in the NPPES registry on May 31, 2018.

Q: What is Dylan Ouellette's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Dylan Ouellette was last updated on December 13, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since May 31, 2018PECOS EnrolledAccepts Medicare Assignment

175 FORE RIVER PKWY, PORTLAND, ME 04102(207) 879-3000 Get Directions Write a Review

NPPES record last updated: December 13, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

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About Dylan T Ouellette Crna NPPES

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

DYLAN T OUELLETTE CRNA (NPI 1316439714) is an individual nurse anesthetist, certified registered in Portland, Maine, licensed in Maine (RNA203062) and active in the NPI registry since May 2018. He is enrolled in Medicare PECOS, is affiliated with Cary Medical Center, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1316439714

Entity TypeIndividualMale

Primary Taxonomy367500000X

Provider Legal NameDYLAN T OUELLETTECredential: CRNA

Location Address175 FORE RIVER PKWYPortland, ME 04102-2779

Mailing AddressPo Box 441Caribou, ME 04736-0441 · (207) 551-5699

Phone(207) 879-3000

Sole ProprietorNo

Medical School CMSOtherGraduated 2020

Enumeration DateMay 31, 2018

Last NPPES UpdateDecember 13, 2022

NPPES CertifiedSeptember 9, 2020

✔ NPI 1316439714 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 ME · RNA203062

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 ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

175 FORE RIVER PKWY, Portland, ME 04102

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Secondary Practice Locations 2

Location 1716 Stevens AvePortland, ME 04103-2693 · Phone (207) 283-0171

Location 2140 Academy StPresque Isle, ME 04769-3102 · Phone (207) 768-4000

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 T Ouellette 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 ID3577973320

PECOS Enrollment IDI20201105001272

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 Ouellette reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

City Of Caribou

249 mi

General Acute Care Hospital

163 VAN BUREN RD
Caribou, ME 04736

Reassigned Medicare billing, Maine enrollment
110 clinicians in this Medicare group

NPI 1780615492 (207) 498-3111

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 3

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 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.

18 services18 patients

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.

15 services14 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.

11 services11 patients

Hospital Affiliations CMS Care Compare

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

Cary Medical Center

Acute Care Hospitals · Caribou, ME

3/5 CMS rating

OwnershipGovernment - Local

CMS Certification Number200031

Location163 Van Buren Rd, Suite 1Caribou, ME 04736 · Aroostook County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 04102 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

$128.83 typical visit price

range $56.28 – $169.96

Typical copayment $32.20 (range $14.07 – $42.49)

Most-billed visit code 99204

Established Patient

$70.13 typical visit price

range $18.22 – $138.92

Typical copayment $17.53 (range $4.55 – $34.73)

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.

FRANCISCO MANUEL CALLES GARCIA M.D.

Family Medicine (Geriatric Medicine)