Dale Anderson II
NPI 1750779591ActiveIndividual· Nurse Anesthetist, Certified Registered· Fort Wayne, IN
Nurse Anesthetist, Certified Registered with Surgery One Anesthesia LLC, practicing in Fort Wayne, Indiana. Medicare paid $10,136 for services to 82 patients in 2024. Lists Orthopaedic Hospital at Parkview North as a hospital affiliation.
Overview
| NPI | 1750779591 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | No |
| NPI issued | Jan 1, 2015 |
| Last updated in NPPES | Oct 24, 2018 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Anesthetist, Certified Registered Primary | 367500000X | 28242030A | IN |
| Nurse Anesthetist, Certified Registered | 367500000X | 19504 | TN |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Certified Registered Nurse Anesthetist (CRNA) (IN) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 82 |
|---|---|
| Services billed | 86 across 20 procedure codes |
| Paid by Medicare | $10,136 |
Education and affiliations
| Graduation year | 2014 |
|---|---|
| Medicare specialty | Certified Registered Nurse Anesthetist (Crna) |
Medical group
- Surgery One Anesthesia LLCFort Wayne, IN · 33 clinicians
Hospital affiliation
- Orthopaedic Hospital at Parkview NorthFort Wayne, IN
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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