ADAM JOSEPH DICKMAN CRNA
NPI 1407375967
Nurse Anesthetist, Certified Registered in Plymouth, MN

Active since September 15, 2017Accepts Medicare Assignment
14700 28TH AVE N STE 20, PLYMOUTH, MN 55447(763) 559-3779 Get Directions Write a Review

NPPES record last updated: April 6, 2018. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Adam Joseph Dickman Crna NPPES

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

ADAM JOSEPH DICKMAN CRNA (NPI 1407375967) is an individual nurse anesthetist, certified registered in Plymouth, Minnesota, licensed in Minnesota (117815) and active in the NPI registry since September 2017. He maintains a secondary practice location in St Cloud and is a graduate of Other (2017).

NPPES Registry Identity

NPI1407375967
Entity TypeIndividualMale
Primary Taxonomy367500000X
Provider Legal NameADAM JOSEPH DICKMANCredential: CRNA
Location Address14700 28TH AVE N STE 20Plymouth, MN 55447-4876
Mailing AddressPo Box 47159Plymouth, MN 55447-0159 · (715) 410-8744
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateSeptember 15, 2017
Last NPPES UpdateApril 6, 2018
NPI 1407375967 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 MN · 117815
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.

14700 28TH AVE N STE 20, Plymouth, MN 55447

Secondary Practice Location 1

Location 1CentraCare Clinic Anesthesia, 3701 12th Street North #202St Cloud, MN 56303-2253 · Phone (320) 258-3090 · Fax (320) 258-3095

Accepted Insurance

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

Adam Joseph Dickman 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 ID9537435615
PECOS Enrollment IDI20230523003368

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55447 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
$127.61 typical visit price
range $56.00 – $168.28
Typical copayment $31.90 (range $14.00 – $42.07)
Most-billed visit code 99204
Established Patient
$69.74 typical visit price
range $18.32 – $138.04
Typical copayment $17.43 (range $4.58 – $34.51)
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.

Anesthesiology
14700 28TH AVE N STE 20
PLYMOUTH, MN 55447
Anesthesiology
14700 28TH AVE N STE 20
PLYMOUTH, MN 55447
Anesthesiology
14700 28TH AVE N STE 20
PLYMOUTH, MN 55447
Anesthesiology
14700 28TH AVE N STE 20
PLYMOUTH, MN 55447
Nurse Anesthetist, Certified Registered
14700 28TH AVE N STE 20
PLYMOUTH, MN 55447
Anesthesiology
14700 28TH AVE N STE 20
PLYMOUTH, MN 55447
Nurse Anesthetist, Certified Registered
14700 28TH AVE N STE 20
PLYMOUTH, MN 55447
Nurse Anesthetist, Certified Registered
14700 28TH AVE N STE 20
PLYMOUTH, MN 55447

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 Adam Dickman's NPI number?

The NPI number for Adam Dickman is 1407375967. It was assigned to this individual provider in the NPPES registry on September 15, 2017.

Where is Adam Dickman located?

Adam Dickman practices at 14700 28th Ave N Ste 20, Plymouth, MN 55447. The listed phone number is (763) 559-3779.

What is Adam Dickman's specialty?

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

Is Adam Dickman enrolled in Medicare?

Yes. Adam Dickman 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.

What insurance does Adam Dickman accept?

Health plans from Medica list Adam Dickman 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.

When was this NPI record last updated?

The NPPES record for Adam Dickman was last updated on April 6, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.