SAMUEL PETER HADLOCK CRNA
NPI 1568732238
Nurse Anesthetist, Certified Registered in Nephi, UT

Active since January 11, 2012Accepts Medicare Assignment

NPPES record last updated: May 30, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 30, 2025, Apr 12, 2024, Mar 4, 2022 and 2 more (5 updates tracked since 2018).

About Samuel Peter Hadlock Crna NPPES

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

SAMUEL PETER HADLOCK CRNA (NPI 1568732238) is an individual nurse anesthetist, certified registered in Nephi, Utah, licensed in Utah (7333366-4406) and active in the NPI registry since January 2012. He is affiliated with Utah Valley Hospital, maintains a secondary practice location in St George, and is a graduate of Other (2013).

NPPES Registry Identity

NPI1568732238
Entity TypeIndividualMale
Primary Taxonomy367500000X
Provider Legal NameSAMUEL PETER HADLOCKCredential: CRNA
Location Address48 W 1500 NNephi, UT 84648-8900
Mailing Address1167 S 175 ENephi, UT 84648-3014 · (801) 380-4164
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateJanuary 11, 2012
Last NPPES UpdateMay 30, 20255 updates tracked since enumeration
NPPES CertifiedMay 30, 2025
✔ NPI 1568732238 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
Licenses✔ Licensed in UT · 7333366-4406✔ Licensed in AZ · CRNA1007✔ Licensed in NV · CRNA000494
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 · License 201140758RN (OR)
48 W 1500 N, Nephi, UT 84648

Secondary Practice Location 1

Location 1676 S Bluff StSt George, UT 84770-3596 · Phone (435) 673-0095

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

Samuel Peter Hadlock 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 ID9537390661
PECOS Enrollment IDI20180409002320

Medicare Billing Reassignments

2

Medicare enrollment records show Samuel Hadlock reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Anesthesiology
48 W 1500 N
Nephi, UT 84648
  • Reassigned Medicare billing, Utah enrollment
  • 7 clinicians in this Medicare group
Nurse Anesthetist, Certified Registered
585 E RIVERSIDE DR
St George, UT 84790
  • Reassigned Medicare billing, Utah enrollment
  • 12 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 4

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 procedure on nerves, muscles, tendons, and tissue of forearm, wrist, and hand 01810
Anesthesia for procedures on the forearm, wrist, and hand involves administering medication to block sensation in these areas. This helps ensure comfort and painlessness during surgeries or treatments involving nerves, muscles, tendons, and tissue in these regions.
15 services15 patients
Anesthesia for procedure for total knee joint replacement 01402
Anesthesia for a total knee joint replacement numbs your body to eliminate pain during surgery. This could be general anesthesia where you're unconscious, or regional anesthesia where only the leg is numb. It's administered by a specialist, ensuring safety and comfort.
12 services12 patients
Injection of anesthetic agent and/or steroid into knee nerve branch using imaging guidance 64454
This procedure involves injecting anesthetic and/or steroid medication into a knee nerve branch. Imaging technology is used to ensure accurate placement of the needle. This can help reduce pain and inflammation in the knee area.
12 services12 patients
Anesthesia for other procedure on large bowel using an endoscope 00811
Anesthesia for an endoscopic procedure on the large bowel ensures comfort and relaxation during the procedure. You'll be given medication to make you drowsy or asleep, eliminating any discomfort. The medication can be administered through a vein or inhaled.
11 services11 patients

Hospital Affiliations CMS Care Compare 2

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

Utah Valley Hospital

Acute Care Hospitals · Provo, UT
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number460001
Location1034 North 500 WestProvo, UT 84604 · Utah County
Emergency services Birthing friendly

Central Valley Medical Center - Cah

Critical Access Hospitals · Nephi, UT
OwnershipVoluntary non-profit - Private
CMS Certification Number461304
Location48 West 1500 NorthNephi, UT 84648 · Juab County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84648 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
$125.70 typical visit price
range $54.34 – $166.03
Typical copayment $31.42 (range $13.58 – $41.50)
Most-billed visit code 99204
Established Patient
$68.01 typical visit price
range $17.23 – $135.20
Typical copayment $17.00 (range $4.30 – $33.80)
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.

Family Medicine
48 W 1500 N
NEPHI, UT 84648
Internal Medicine
48 W 1500 N
NEPHI, UT 84648
Nurse Anesthetist, Certified Registered
48 W 1500 N
NEPHI, UT 84648
Speech-Language Pathologist
48 W 1500 N
NEPHI, UT 84648
Speech-Language Pathologist
48 W 1500 N
NEPHI, UT 84648
Speech-Language Pathologist
48 W 1500 N
NEPHI, UT 84648
Family Medicine
48 W 1500 N
NEPHI, UT 84648
Physical Therapist
48 W 1500 N
NEPHI, UT 84648

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 Samuel Hadlock's NPI number?

The NPI number for Samuel Hadlock is 1568732238. It was assigned to this individual provider in the NPPES registry on January 11, 2012.

Where is Samuel Hadlock located?

Samuel Hadlock practices at 48 W 1500 N, Nephi, UT 84648. The listed phone number is (435) 623-3000.

What is Samuel Hadlock's specialty?

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

Is Samuel Hadlock enrolled in Medicare?

Yes. Samuel Hadlock 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 Samuel Hadlock's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Samuel Hadlock reassigns Medicare benefits to 2 organizations: Salt Creek Anesthesia PLLC (Nephi, UT) and Innovative Anesthesia Solutions PLLC (St George, UT). 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 Samuel Hadlock's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Samuel Hadlock accept?

Health plans from Select Health list Samuel Hadlock 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.

Is Samuel Hadlock affiliated with any hospitals?

According to CMS data, Samuel Hadlock is affiliated with Utah Valley Hospital and Central Valley Medical Center - Cah.

When was this NPI record last updated?

The NPPES record for Samuel Hadlock was last updated on May 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.