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

Dale Anderson II

Individual provider Certified Registered Nurse Anesthetist · NPI 1750779591

Dale Anderson II is a Certified Registered Nurse Anesthetist (CRNA) in Fort Wayne, Indiana. Qualified in 2014, 12 years ago. Practices with Surgery One Anesthesia LLC, a 32-clinician group and accepts Medicare assignment. Licensed in Indiana and Tennessee.

Years since qualifying
12
Licensed in
IN, TN
In the registry since
2015
Specialties on file
2

Practice location Address checks out

5050 N Clinton St
Fort Wayne, IN 46825-5886
Phone: (260) 484-8551
Fax: (260) 482-5060
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 28242030A (IN)
Certified Registered Nurse Anesthetist Taxonomy 367500000X · Licence 19504 (TN)

Record details

NPI number1750779591
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJanuary 1, 2015
Last updated in NPPESOctober 24, 2018

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Surgery One Anesthesia Llc — 32 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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