PAUL A DICKINSON CRNA
NPI 1912137175
Nurse Anesthetist, Certified Registered in Jerome, ID

Q: What is Paul Dickinson's NPI number?

The NPI number for Paul Dickinson is 1912137175. It was assigned to this individual provider in the NPPES registry on July 22, 2009.

Q: What is Paul Dickinson's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Paul Dickinson was last updated on July 22, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.

Active since July 22, 2009Accepts Medicare Assignment

709 N LINCOLN AVE, JEROME, ID 83338(208) 324-4301(208) 324-9529 Get Directions Write a Review

NPPES record last updated: July 22, 2009. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Paul A Dickinson Crna NPPES

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

PAUL A DICKINSON CRNA (NPI 1912137175) is an individual nurse anesthetist, certified registered in Jerome, Idaho, licensed in Idaho (20013) and active in the NPI registry since July 2009. He is affiliated with North Canyon Medical Center and is a graduate of Other (2009).

NPPES Registry Identity

NPI1912137175

Entity TypeIndividualMale

Primary Taxonomy367500000X

Provider Legal NamePAUL A DICKINSONCredential: CRNA

Location Address709 N LINCOLN AVEJerome, ID 83338-1851

Mailing Address709 N Lincoln AveJerome, ID 83338-1851 · (208) 324-4301 · Fax (208) 324-9529

Phone(208) 324-4301

Fax(208) 324-9529

Sole ProprietorYes

Medical School CMSOtherGraduated 2009

Enumeration DateJuly 22, 2009

✔ NPI 1912137175 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 ID · 20013

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.

709 N LINCOLN AVE, Jerome, ID 83338

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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

Paul A Dickinson 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 ID6608045901

PECOS Enrollment IDI20110802000703

Medicare Billing Reassignments

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

Central Idaho Infusion Center LLC

0.7 mi

Health Service

868 E MAIN ST
Jerome, ID 83338

Reassigned Medicare billing, Idaho enrollment

NPI 1962268938 (208) 316-6424

North Canyon Medical Center, Inc.

15 mi

Rural Health

718 HWY 30
Buhl, ID 83316

Reassigned Medicare billing, Idaho enrollment
Also billed through NPI 1609046671 (Idaho)
180 clinicians in this Medicare group

NPI 1568950566 (208) 934-4433

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.

Injection of anesthetic agent and/or steroid into thigh nerve (femoral nerve) 64447

This procedure involves injecting a numbing agent and/or steroid into a nerve in your thigh. It's done to alleviate pain or inflammation. A needle will be carefully positioned near the nerve, and the medicine will be administered.

17 services16 patients

Hospital Affiliations CMS Care Compare

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

North Canyon Medical Center

Critical Access Hospitals · Gooding, ID

OwnershipVoluntary non-profit - Private

CMS Certification Number131302

Location267 North Canyon DrGooding, ID 83330 · Gooding County

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 83338 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

$121.27 typical visit price

range $52.44 – $160.17

Typical copayment $30.31 (range $13.11 – $40.04)

Most-billed visit code 99204

Established Patient

$65.77 typical visit price

range $16.68 – $130.93

Typical copayment $16.44 (range $4.17 – $32.73)

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 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

THOMAS HENRY ZEPEDA MD

Personal Emergency Response Attendant