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

Individual provider Certified Registered Nurse Anesthetist · NPI 1619250404

James Dieckman, CRNA is a Certified Registered Nurse Anesthetist (CRNA) in Melbourne, Florida. Qualified in 2011, 15 years ago. Practices with Brevard Physician Associates PLLC, a 219-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
15
Licensed in
FL
In the registry since
2011
What do these letters mean?
CRNA — Certified Registered Nurse Anesthetist
An advanced practice nurse who administers anaesthesia.

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Practice location Address checks out

1304 Oak St
Melbourne, FL 32901-3111
Phone: (321) 723-4723
Fax: (321) 727-1448
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence ARNP9330864 (FL)

Record details

NPI number1619250404
Entity typeIndividual (Type 1)
GenderMale
Credentials CRNA
Sole proprietorNo
NPI enumeratedSeptember 28, 2011
Last updated in NPPESSeptember 28, 2011

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice Brevard Physician Associates Pllc — 219 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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