CARMEN NICHOLAS DIBENEDETTO CRNA
NPI 1396407623
Nurse Anesthetist, Certified Registered in Ukiah, CA
About Carmen Nicholas Dibenedetto Crna NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CARMEN NICHOLAS DIBENEDETTO CRNA (NPI 1396407623) is an individual nurse anesthetist, certified registered in Ukiah, California, licensed in California (563009) and active in the NPI registry since October 2021. He is a graduate of Other (2019).
NPPES Registry Identity
Specialties & Licenses
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
Carmen Nicholas Dibenedetto 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.
Medicare Billing Reassignments
6Medicare enrollment records show Carmen Dibenedetto reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Ukiah, CA 95482
- Reassigned Medicare billing, California enrollment
- 22 clinicians in this Medicare group
Willits, CA 95490
- Reassigned Medicare billing, California enrollment
- 134 clinicians in this Medicare group
Sacramento, CA 95819
- Reassigned Medicare billing, California enrollment
- 833 clinicians in this Medicare group
Weaverville, CA 96093
- Reassigned Medicare billing, California enrollment
- Also billed through NPI 1407027568 (California)
- 119 clinicians in this Medicare group
French Camp, CA 95231
- Reassigned Medicare billing, California enrollment
- Medicare enrollment name: Anesthesia Services Of San Joaquin PC
- 217 clinicians in this Medicare group
Fresno, CA 93720
- Reassigned Medicare billing, California enrollment
- 293 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 95482 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
UKIAH, CA 95482
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 Carmen Dibenedetto's NPI number?
The NPI number for Carmen Dibenedetto is 1396407623. It was assigned to this individual provider in the NPPES registry on October 13, 2021.
Where is Carmen Dibenedetto located?
Carmen Dibenedetto practices at 275 Hospital Dr, Ukiah, CA 95482. The listed phone number is (707) 463-7516.
What is Carmen Dibenedetto's specialty?
The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.
Is Carmen Dibenedetto enrolled in Medicare?
Yes. Carmen Dibenedetto 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 Carmen Dibenedetto's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Carmen Dibenedetto reassigns Medicare benefits to 6 organizations: Anesthesia Management Services Of California Inc (Ukiah, CA), Willits Hospital Inc. (Willits, CA), Cep America - Anesthesia PC (Sacramento, CA), Mountain Communities Healthcare District (Weaverville, CA), Anesthesia Services Of San Joaquin, P.C. (French Camp, CA) and 1 more organization, listed in the Medicare section above. 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 Carmen Dibenedetto's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Carmen Dibenedetto was last updated on November 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.
# Carmen Nicholas Dibenedetto, CRNA · NPI 1396407623
Nurse Anesthetist, Certified Registered physician in Ukiah, California. Individual provider, active in the CMS NPPES registry since October 13, 2021.
## Identity
- **NPI:** 1396407623 (Entity type: Individual)
- **Enumerated:** October 13, 2021
- **Primary specialty:** Nurse Anesthetist, Certified Registered · taxonomy 367500000X
- **State license:** 563009 (California)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 275 HOSPITAL DR, Ukiah, CA 95482-4531
- **Phone:** (707) 463-7516
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Bills Medicare through:** 6 organizations under Medicare reassignment (form CMS-855R): Anesthesia Management Services Of California Inc (NPI 1003458704, Ukiah, CA); Willits Hospital Inc. (NPI 1356339543, Willits, CA); Cep America - Anesthesia PC (NPI 1770014466, Sacramento, CA); Mountain Communities Healthcare District (NPI 1750462271, Weaverville, CA); Anesthesia Services Of San Joaquin, P.C. (NPI 1366778227, French Camp, CA); and 1 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2019
## Record status
- **NPPES last updated:** November 13, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1396407623) · Data from the CMS NPPES public registry.