ADAM JOSEPH DICKMAN CRNA
NPI 1407375967
Nurse Anesthetist, Certified Registered in Plymouth, MN
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 is enrolled in Medicare PECOS, maintains a secondary practice location in St Cloud, and is a graduate of Other (2017).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
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
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.
Medicare Billing Reassignments
3Medicare enrollment records show Adam Dickman reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Plymouth, MN 55447
- Reassigned Medicare billing, Minnesota enrollment
- 1,033 clinicians in this Medicare group
Minneapolis, MN 55454
- Reassigned Medicare billing, Minnesota enrollment
- 681 clinicians in this Medicare group
Blaine, MN 55449
- Reassigned Medicare billing, Minnesota and Wisconsin enrollments
- 29 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.
Areas of Expertise CMS Part B claims
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.
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.
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.
PLYMOUTH, MN 55447
PLYMOUTH, MN 55447
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.
Which organizations bill Medicare for Adam Dickman's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Adam Dickman reassigns Medicare benefits to 3 organizations: Metropolitan Anesthesia Network, LLP (Plymouth, MN), University Anesthesia Providers, LLC (Minneapolis, MN) and Twin Anesthesia LLC (Blaine, MN). 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 Adam Dickman'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 Adam Dickman was last updated on April 6, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.
# Adam Joseph Dickman, CRNA · NPI 1407375967
Nurse Anesthetist, Certified Registered physician in Plymouth, Minnesota. Individual provider, active in the CMS NPPES registry since September 15, 2017.
## Identity
- **NPI:** 1407375967 (Entity type: Individual)
- **Enumerated:** September 15, 2017
- **Primary specialty:** Nurse Anesthetist, Certified Registered · taxonomy 367500000X
- **State license:** 117815 (Minnesota)
- **Sole proprietor:** No
## Practice location
- **Address:** 14700 28TH AVE N STE 20, Plymouth, MN 55447-4876
- **Phone:** (763) 559-3779
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Metropolitan Anesthesia Network, LLP (NPI 1558314427, Plymouth, MN); University Anesthesia Providers, LLC (NPI 1699711143, Minneapolis, MN); Twin Anesthesia LLC (NPI 1265105332, Blaine, MN) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2017
## Record status
- **NPPES last updated:** April 6, 2018
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Source: [NPI Profile](https://npiprofile.com/npi/1407375967) · Data from the CMS NPPES public registry.