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

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: October 25, 2026.

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

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

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

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

Medicare Billing Reassignments

4

Medicare enrollment records show Robert Bulloch reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Sevier Valley Anesthesia Group, LLP
Same address
Nurse Anesthetist, Certified Registered
1000 N MAIN ST
Richfield, UT 84701
  • Reassigned Medicare billing, Utah enrollment
  • 17 clinicians in this Medicare group
NPI 1487895462 (435) 893-4100
Cedar Anesthesia Group LLP
92 mi
Nurse Anesthetist, Certified Registered
1303 N MAIN ST
Cedar City, UT 84720
  • Reassigned Medicare billing, Utah enrollment
  • 18 clinicians in this Medicare group
NPI 1821176132 (435) 868-5800
Premier Anesthesia Of Richland A Division Of Premier Anesthesia, LLC
634 mi
Anesthesiology
888 SWIFT BLVD
Richland, WA 99352
  • Reassigned Medicare billing, Washington enrollment
  • 172 clinicians in this Medicare group
NPI 1013940253 (770) 643-5501
Medstream Anesthesia PLLC
949 mi
Anesthesiology
2221 LAKESIDE BLVD STE 600
Richardson, TX 75082
  • Reassigned Medicare billing, Washington enrollment
  • 65 clinicians in this Medicare group
NPI 1649616160 (828) 210-9386

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

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
1000 N MAIN ST
RICHFIELD, UT 84701
Sevier County (435) 893-4100
DR. BRADY TED SMITH PHARMD
Pharmacist
1000 N MAIN ST
RICHFIELD, UT 84701
Sevier County (435) 893-0232
DR. DEVONE NELSON BURTON M.D.
Radiology (Diagnostic Radiology)
1000 N MAIN ST
RICHFIELD, UT 84701
Sevier County (435) 893-4100
N. ROD HINCK SPEECH PATHOLOGIST
Speech-Language Pathologist
1000 N MAIN ST
RICHFIELD, UT 84701
Sevier County (435) 893-0540
ELOSIA FURBEE CRNA
Nurse Anesthetist, Certified Registered
1000 N MAIN ST
RICHFIELD, UT 84701
Sevier County (435) 893-4100
ANNALISA BAILEY RD,CD
Dietitian, Registered
1000 N MAIN ST
RICHFIELD, UT 84701
Sevier County (435) 893-0569
DR. HOWARD L GARBER M.D.
Emergency Medicine (Emergency Medical Services)
1000 N MAIN ST
RICHFIELD, UT 84701
Sevier County (435) 893-4100
DANIEL FRED GOOLD MD
Radiology (Diagnostic Radiology)
1000 N MAIN ST
RICHFIELD, UT 84701
Sevier County (435) 893-4100

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 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.

Where is Robert Bulloch located?

Robert Bulloch practices at 1000 N Main St, Richfield, UT 84701. The listed phone number is (435) 893-4100.

What is Robert Bulloch's specialty?

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

Is Robert Bulloch enrolled in Medicare?

Yes. Robert Bulloch 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 Robert Bulloch's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Robert Bulloch reassigns Medicare benefits to 4 organizations: Sevier Valley Anesthesia Group, LLP (Richfield, UT), Cedar Anesthesia Group LLP (Cedar City, UT), Premier Anesthesia Of Richland A Division Of Premier Anesthesia, LLC (Richland, WA) and Medstream Anesthesia PLLC (Richardson, TX). 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 Robert Bulloch's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Robert Bulloch accept?

Health plans from Moda Health Plan, Inc. list Robert Bulloch 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 Robert Bulloch affiliated with any hospitals?

According to CMS data, Robert Bulloch is affiliated with Trios Health and Kadlec Regional Medical Center.

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.