NOBLE DREAMS ANESTHESIA LLC
NPI 1750889804
Nurse Anesthetist, Certified Registered in Salem, OR

Q: What is Noble Dreams Anesthesia LLC's NPI number?

The NPI number for Noble Dreams Anesthesia LLC is 1750889804. It was assigned to this organization in the NPPES registry on January 23, 2018.

Q: What is Noble Dreams Anesthesia LLC's specialty?

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

Active since January 23, 2018

3099 RIVER RD S # 100, SALEM, OR 97302(503) 758-0892(503) 966-1177 Get Directions Write a Review

NPPES record last updated: November 10, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Nov 10, 2025, Jul 3, 2024, Mar 10, 2023 (3 updates tracked since 2023).

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About Noble Dreams Anesthesia Llc NPPES

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

NOBLE DREAMS ANESTHESIA LLC (NPI 1750889804) is a healthcare organization registered as a nurse anesthetist, certified registered in Salem, Oregon and active in the NPI registry since January 2018. The organization lists Tyson Summers, Organizer/chief Manager, as its authorized official.

NPPES Registry Identity

NPI1750889804

Entity TypeOrganization

Primary Taxonomy367500000X

Legal Business NameNOBLE DREAMS ANESTHESIA LLC

Location Address3099 RIVER RD S # 100Salem, OR 97302-9754

Mailing Address3473 Maci Elle Ct SeSalem, OR 97302-2797 · (865) 384-6465

Phone(503) 758-0892

Fax(503) 966-1177

Organization SubpartNo

Authorized OfficialTyson SummersOrganizer/chief Manager · (865) 384-6465

Enumeration DateJanuary 23, 2018

Last NPPES UpdateNovember 10, 20253 updates tracked since enumeration

NPPES CertifiedNovember 10, 2025

✔ NPI 1750889804 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 OR · 201392028CRNA

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.

3099 RIVER RD S # 100, Salem, OR 97302

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc..Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Noble Dreams Anesthesia Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 7 clinicians reassign Medicare billing to Noble Dreams Anesthesia LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.