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

Dallin Hazelgren

Individual provider Certified Registered Nurse Anesthetist · NPI 1003592254

Dallin Hazelgren is a Certified Registered Nurse Anesthetist (CRNA) in Gilbert, Arizona. Qualified in 2023, 3 years ago. Practices with Banner Hospital Based Physicians Arizona LLC, a 641-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Arizona.

Years since qualifying
3
Licensed in
AZ
In the registry since
2023
Specialties on file
2
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Practice location Address checks out

1900 N Higley Rd
Gilbert, AZ 85234-1604
Phone: (480) 543-2000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2095 W Pecos Rd Ste 1, Chandler, AZ 85224-5725 — (480) 616-9814

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence 229177 (AZ)
Certified Registered Nurse Anesthetist Taxonomy 367500000X · Licence 149383 (AZ)

Record details

NPI number1003592254
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJune 23, 2023
Last updated in NPPESJune 20, 2024
Certification dateAugust 30, 2023
Mailing address21169 E Misty Ln, Queen Creek, AZ 85142-5062

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Banner Hospital Based Physicians Arizona Llc — 641 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Gilbert