Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Carmen Nicholas Dibenedetto, CRNA

Individual provider Certified Registered Nurse Anesthetist · NPI 1396407623

Carmen Nicholas Dibenedetto, CRNA is a Certified Registered Nurse Anesthetist (CRNA) in Ukiah, California. Qualified in 2019, 7 years ago. Practices with Anesthesia Management Services of California Inc, a 16-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
7
Licensed in
CA
In the registry since
2021
Specialties on file
2
What do these letters mean?
CRNA — Certified Registered Nurse Anesthetist
An advanced practice nurse who administers anaesthesia.

See every abbreviation used in this directory →

Practice location Address checks out

275 Hospital Dr
Ukiah, CA 95482-4531
Phone: (707) 463-7516
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence 563009 (CA)
Certified Registered Nurse Anesthetist Taxonomy 367500000X · Licence 95001636 (CA)

Record details

NPI number1396407623
Entity typeIndividual (Type 1)
GenderMale
Credentials CRNA
Sole proprietorYes
NPI enumeratedOctober 13, 2021
Last updated in NPPESNovember 13, 2025
Certification dateNovember 13, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Anesthesia Management Services Of California Inc — 16 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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