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STEPHANIE M DICKSON APRN-CRNA
NPI 1922765239
Nurse Anesthetist, Certified Registered in Tooele, UT

Active since November 22, 2021
2055 N MAIN ST, TOOELE, UT 84074(435) 843-3600 Get Directions Write a Review

NPPES record last updated: December 27, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Dec 27, 2024, Nov 29, 2021, Nov 23, 2021 (3 updates tracked since 2021).

About Stephanie M Dickson Aprn-crna NPPES

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

STEPHANIE M DICKSON APRN-CRNA (NPI 1922765239) is an individual nurse anesthetist, certified registered in Tooele, Utah, licensed in Utah (11641010-4406) and active in the NPI registry since November 2021. She maintains 2 additional practice locations.

NPPES Registry Identity

NPI1922765239
Entity TypeIndividualFemale
Primary Taxonomy367500000X
Provider Legal NameSTEPHANIE M DICKSONCredential: APRN-CRNA
Location Address2055 N MAIN STTooele, UT 84074-9819
Mailing Address5 Whispering Woods DrSmithtown, NY 11787-1662
Phone(435) 843-3600
Sole ProprietorYes
Enumeration DateNovember 22, 2021
Last NPPES UpdateDecember 27, 20243 updates tracked since enumeration
NPPES CertifiedDecember 19, 2024
✔ NPI 1922765239 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 UT · 11641010-4406
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.
2055 N MAIN ST, Tooele, UT 84074
Open in Google Maps ↗

Secondary Practice Locations 2

Location 1Building C 2326 N 400 E Suite 100Tooele, UT 84074 · Phone (435) 843-0180
Location 2315 Hospital DrMadison, TN 37115-5030 · Phone (800) 465-3203

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 Select Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Stephanie M Dickson Aprn-crna is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignments

2

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

Deseret Peak Anesthesia, LLC
Same address
Nurse Anesthetist, Certified Registered
2055 N MAIN ST
Tooele, UT 84074
  • Reassigned Medicare billing, Utah enrollment
  • Medicare enrollment name: Desert Peak Anesthesia, LLC
  • 16 clinicians in this Medicare group
NPI 1518972280 (435) 843-3600
Mountain West Anesthesia LLC
24 mi
Anesthesiology
3300 N TRIUMPH BLVD STE G50
Lehi, UT 84043
  • Reassigned Medicare billing, Utah enrollment
  • 355 clinicians in this Medicare group
NPI 1558391763 (801) 990-1911

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

TOOELE HOSPITAL CORPORATION
Clinic/Center (Physical Therapy)
2055 N MAIN ST
TOOELE, UT 84074
Tooele County (435) 843-3600
TOOELE HOSPITAL CORPORATION
General Acute Care Hospital
2055 N MAIN ST
TOOELE, UT 84074
Tooele County (435) 843-3600
ADAM SAPERSTON MD
Emergency Medicine (Emergency Medical Services)
2055 N MAIN ST
TOOELE, UT 84074
Tooele County (435) 843-3600
RICHARD THURMAN MD
Emergency Medicine
2055 N MAIN ST
TOOELE, UT 84074
Tooele County (435) 843-3600
THEODORE C SMITH CRNA
Nurse Anesthetist, Certified Registered
2055 N MAIN ST
TOOELE, UT 84074
Tooele County (801) 698-4825
JOHN MASARYK MD
Emergency Medicine
2055 N MAIN ST
TOOELE, UT 84074
Tooele County (435) 843-3600
ERICK STANTFORD ROWAN DPT
Physical Therapist
2055 N MAIN ST
TOOELE, UT 84074
Tooele County (435) 843-3737
JAMES WEBBER MD
Radiology (Diagnostic Radiology)
2055 N MAIN ST
TOOELE, UT 84074
Tooele County (435) 843-3646

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 Stephanie Dickson's NPI number?

The NPI number for Stephanie Dickson is 1922765239. It was assigned to this individual provider in the NPPES registry on November 22, 2021.

Where is Stephanie Dickson located?

Stephanie Dickson practices at 2055 N Main St, Tooele, UT 84074. The listed phone number is (435) 843-3600.

What is Stephanie Dickson's specialty?

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

Is Stephanie Dickson enrolled in Medicare?

Yes. Stephanie Dickson is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Stephanie Dickson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Stephanie Dickson reassigns Medicare benefits to 2 organizations: Deseret Peak Anesthesia, LLC (Tooele, UT) and Mountain West Anesthesia LLC (Lehi, 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 Stephanie Dickson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Stephanie Dickson accept?

Health plans from Select Health list Stephanie Dickson 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 Stephanie Dickson was last updated on December 27, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.