DEREK DIBBEN DNP, CRNA
NPI 1457927295
Nurse Anesthetist, Certified Registered in Phoenix, AZ

Active since June 02, 2021Accepts Medicare Assignment
78.31/100
CMS Quality Rating
7301 N 16TH ST STE 102, PHOENIX, AZ 85020(480) 420-4027 Get Directions Write a Review

NPPES record last updated: July 22, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 22, 2021, Jun 2, 2021 (2 updates tracked since 2021).

About Derek Dibben Dnp, Crna NPPES

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

DEREK DIBBEN DNP, CRNA (NPI 1457927295) is an individual nurse anesthetist, certified registered in Phoenix, Arizona, licensed in Arizona (259670) and active in the NPI registry since June 2021. He is a graduate of Other (2021).

NPPES Registry Identity

NPI1457927295
Entity TypeIndividualMale
Primary Taxonomy367500000X
Provider Legal NameDEREK DIBBENCredential: DNP, CRNA
Location Address7301 N 16TH ST STE 102Phoenix, AZ 85020-5266
Mailing Address410 Westover CtBelton, MO 64012-1844 · (816) 806-9287
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateJune 2, 2021
Last NPPES UpdateJuly 22, 20212 updates tracked since enumeration
NPPES CertifiedJuly 22, 2021
✔ NPI 1457927295 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 AZ · 259670
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.
7301 N 16TH ST STE 102, Phoenix, AZ 85020

Accepted 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

Derek Dibben Dnp, 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 ID7719380815
PECOS Enrollment IDI20210727003478

Medicare Billing Reassignments

3

Medicare enrollment records show Derek Dibben reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Nurse Anesthetist, Certified Registered
7301 N 16TH ST STE 102
Phoenix, AZ 85020
  • Reassigned Medicare billing, Arizona enrollment
  • 174 clinicians in this Medicare group
Nurse Anesthetist, Certified Registered
4620 E BASELINE RD
Mesa, AZ 85206
  • Reassigned Medicare billing, Arizona enrollment
  • 298 clinicians in this Medicare group
Nurse Anesthetist, Certified Registered
8273 GRAND RIVER RD STE 210
Brighton, MI 48114
  • Reassigned Medicare billing, Arizona enrollment
  • 370 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 2

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 other procedure on skin, muscles, or nerves of head, neck, and upper back 00300
Anesthesia for procedures on skin, muscles, or nerves of the head, neck, and upper back involves using medication to numb the area or make you unconscious during the procedure. This ensures you don't feel pain or discomfort. It's safe and monitored by professionals.
13 services13 patients
Anesthesia for other procedure on urinary system through urethra 00910
Anesthesia for a procedure on the urinary system through the urethra involves using medicine to numb sensation in the area. This is done to ensure you feel no pain or discomfort during the procedure. The medicine can be given locally, regionally, or generally, depending on the specifics of your procedure.
12 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85020 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
$127.71 typical visit price
range $55.44 – $168.60
Typical copayment $31.92 (range $13.86 – $42.15)
Most-billed visit code 99204
Established Patient
$69.24 typical visit price
range $17.72 – $137.41
Typical copayment $17.31 (range $4.43 – $34.35)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

78.31/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality74.49
Improvement Activities40

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.

General Practice
7301 N 16TH ST STE 102
PHOENIX, AZ 85020
Nurse Anesthetist, Certified Registered
7301 N 16TH ST STE 102
PHOENIX, AZ 85020
Anesthesiology
7301 N 16TH ST STE 102
PHOENIX, AZ 85020
Nurse Anesthetist, Certified Registered
7301 N 16TH ST STE 102
PHOENIX, AZ 85020
Nurse Practitioner (Psychiatric/Mental Health)
7301 N 16TH ST STE 102
PHOENIX, AZ 85020
Nurse Practitioner (Psychiatric/Mental Health)
7301 N 16TH ST STE 102
PHOENIX, AZ 85020
Internal Medicine
7301 N 16TH ST STE 102
PHOENIX, AZ 85020
Counselor (Professional)
7301 N 16TH ST STE 102
PHOENIX, AZ 85020

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 Derek Dibben's NPI number?

The NPI number for Derek Dibben is 1457927295. It was assigned to this individual provider in the NPPES registry on June 2, 2021.

Where is Derek Dibben located?

Derek Dibben practices at 7301 N 16th St Ste 102, Phoenix, AZ 85020. The listed phone number is (480) 420-4027.

What is Derek Dibben's specialty?

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

Is Derek Dibben enrolled in Medicare?

Yes. Derek Dibben 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 Derek Dibben's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Derek Dibben reassigns Medicare benefits to 3 organizations: Guide Anesthesia Az LLC (Phoenix, AZ), Ascend Anesthesia LLC (Mesa, AZ) and Anesthesia Partners & Management LLC (Brighton, MI). 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 Derek Dibben's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Derek Dibben accept?

Health plans from Blue Cross Blue Shield of Arizona list Derek Dibben 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 Derek Dibben was last updated on July 22, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.