Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Dallin Hazelgren

Individual provider Certified Registered Nurse Anesthetist · NPI 1003592254

Dallin Hazelgren is registered under 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

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

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Medicare patients175
Services billed 195 a service is one billed item, such as a visit, a test or a procedure
Average patient age74

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

Practises at

Facilities the CMS Facility Affiliation file lists for this clinician.

Colleagues at Banner Hospital Based Physicians Arizona LLC

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 641 clinicians in the practice; 12 are shown here.

Other providers in Gilbert