ROBERT DUSTIN BULLOCH CRNA
NPI 1982000451
Nurse Anesthetist, Certified Registered in Richfield, UT

Q: What is Robert Bulloch's NPI number?

The NPI number for Robert Bulloch is 1982000451. It was assigned to this individual provider in the NPPES registry on November 11, 2014. The provider is also known as Dustin Bulloch Crna.

Q: What is Robert Bulloch'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 Robert Bulloch was last updated on March 6, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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 November 11, 2014Accepts Medicare Assignment

1000 N MAIN ST, RICHFIELD, UT 84701(435) 893-4100 Get Directions Write a Review

NPPES record last updated: March 6, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 6, 2023, Nov 3, 2020 (2 updates tracked since 2020).

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About Robert Dustin Bulloch Crna NPPES

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

ROBERT DUSTIN BULLOCH CRNA (NPI 1982000451) is an individual nurse anesthetist, certified registered in Richfield, Utah, licensed in Utah (6573583-4406) and active in the NPI registry since November 2014. He is affiliated with Trios Health, maintains a secondary practice location in Roswell, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1982000451

Entity TypeIndividualMale

Primary Taxonomy367500000X

Provider Legal NameROBERT DUSTIN BULLOCHCredential: CRNA

Location Address1000 N MAIN STRichfield, UT 84701-2061

Mailing Address1000 N Main StRichfield, UT 84701-2061 · (435) 893-4100

Phone(435) 893-4100

Sole ProprietorNo

Medical School CMSOtherGraduated 2014

Enumeration DateNovember 11, 2014

Last NPPES UpdateMarch 6, 20232 updates tracked since enumeration

NPPES CertifiedMarch 6, 2023

✔ NPI 1982000451 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

Licenses✔ Licensed in UT · 6573583-4406✔ Licensed in WA · AP60840896

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.

1000 N MAIN ST, Richfield, UT 84701

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Other Names 1

Other Name (5)Dustin Bulloch Crna

Secondary Practice Location 1

Location 1405 W Country Club RdRoswell, NM 88201-5209 · Phone (575) 622-8170

Other Identifiers 1

Medicaid2097438WA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Robert Dustin Bulloch 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 ID8729303029

PECOS Enrollment IDI20180419001651

Hospital Affiliations CMS Care Compare 2

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

Trios Health

Acute Care Hospitals · Kennewick, WA

1/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number500053

Location900 South Auburn StreetKennewick, WA 99336 · Benton County

Emergency services Birthing friendly

Kadlec Regional Medical Center

Acute Care Hospitals · Richland, WA

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number500058

Location888 Swift BlvdRichland, WA 99352 · Benton County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84701 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.

JOSHUA MICHAEL PENMAN

Nurse Practitioner