WILLIAM G DALLAS CRNA
NPI 1649365164
Nurse Anesthetist, Certified Registered in Mount Clemens, MI
About William G Dallas Crna NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
WILLIAM G DALLAS CRNA (NPI 1649365164) is an individual nurse anesthetist, certified registered in Mount Clemens, Michigan, licensed in Michigan (4704226096) and active in the NPI registry since October 2006. He is affiliated with Ascension Providence Hospital, Southfield And Novi, maintains a secondary practice location in Clarkston, and is a graduate of Other (2005).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Other Identifiers 1
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
William G Dallas 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
15Medicare enrollment records show William Dallas reassigns Medicare billing to 15 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Mount Clemens, MI 48043
- Reassigned Medicare billing, Michigan enrollment
- 112 clinicians in this Medicare group
Mount Clemens, MI 48043
- Reassigned Medicare billing, Michigan enrollment
- 16 clinicians in this Medicare group
Harrison Township, MI 48045
- Reassigned Medicare billing, Michigan enrollment
- Medicare enrollment name: Henry Ford Health St. John Hospital
- 132 clinicians in this Medicare group
Clinton Township, MI 48038
- Reassigned Medicare billing, Michigan enrollment
- 83 clinicians in this Medicare group
Macomb, MI 48044
- Reassigned Medicare billing, Michigan enrollment
- 87 clinicians in this Medicare group
Macomb, MI 48044
- Reassigned Medicare billing, Michigan enrollment
- 61 clinicians in this Medicare group
Rochester Hills, MI 48307
- Reassigned Medicare billing, Michigan enrollment
- 100 clinicians in this Medicare group
Troy, MI 48098
- Reassigned Medicare billing, Michigan enrollment
- 87 clinicians in this Medicare group
Lake Orion, MI 48360
- Reassigned Medicare billing, Michigan enrollment
- 51 clinicians in this Medicare group
Clarkston, MI 48348
- Reassigned Medicare billing, Michigan enrollment
- 5 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.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Ascension Providence Hospital, Southfield And Novi
Acute Care Hospitals · Southfield, MIAscension St John Hospital
Acute Care Hospitals · Detroit, MIPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 48043 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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.
MT CLEMENS, MI 48043
MOUNT CLEMENS, MI 48043
MOUNT CLEMENS, MI 48043
MT CLEMENS, MI 48043
MT CLEMENS, MI 48043
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 William Dallas's NPI number?
The NPI number for William Dallas is 1649365164. It was assigned to this individual provider in the NPPES registry on October 3, 2006.
Where is William Dallas located?
William Dallas practices at 1000 Harrington Blvd, Mount Clemens, MI 48043. The listed phone number is (586) 493-8747.
What is William Dallas's specialty?
The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.
Is William Dallas enrolled in Medicare?
Yes. William Dallas 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 William Dallas's services?
According to the CMS Revalidation Reassignment List (October 2026 release), William Dallas reassigns Medicare benefits to 15 organizations: Glps Staffing Solutions LLC (Mount Clemens, MI), Lakeside Anesthesia Associates, PLLC (Mount Clemens, MI), St John Hospital And Medical Center (Harrison Township, MI), Macomb Anesthesia, PC (Clinton Township, MI), Macomb Endoscopy Center Plc (Macomb, MI) and 10 more organizations, 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 William Dallas's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does William Dallas accept?
Health plans from Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list William Dallas 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 William Dallas affiliated with any hospitals?
According to CMS data, William Dallas is affiliated with Ascension Providence Hospital, Southfield And Novi and Ascension St John Hospital.
When was this NPI record last updated?
The NPPES record for William Dallas was last updated on July 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.
# William G Dallas, CRNA · NPI 1649365164
Nurse Anesthetist, Certified Registered physician in Mount Clemens, Michigan. Individual provider, active in the CMS NPPES registry since October 3, 2006.
## Identity
- **NPI:** 1649365164 (Entity type: Individual)
- **Enumerated:** October 3, 2006
- **Primary specialty:** Nurse Anesthetist, Certified Registered · taxonomy 367500000X
- **State license:** 4704226096 (Michigan)
- **Sole proprietor:** No
## Practice location
- **Address:** 1000 HARRINGTON BLVD, Mount Clemens, MI 48043
- **Phone:** (586) 493-8747 · **Fax:** (586) 493-8741
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Bills Medicare through:** 15 organizations under Medicare reassignment (form CMS-855R): Glps Staffing Solutions LLC (NPI 1750797015, Mount Clemens, MI); Lakeside Anesthesia Associates, PLLC (NPI 1073534947, Mount Clemens, MI); St John Hospital And Medical Center (NPI 1740312685, Harrison Township, MI); Macomb Anesthesia, PC (NPI 1639248206, Clinton Township, MI); Macomb Endoscopy Center Plc (NPI 1780923128, Macomb, MI); and 10 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2005
## Record status
- **NPPES last updated:** July 9, 2025
- **Other identifiers:** Medicaid 4838500 (MI)
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Source: [NPI Profile](https://npiprofile.com/npi/1649365164) · Data from the CMS NPPES public registry.