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

Mr. Scott Michael Dickerson, CRNA

Individual provider Certified Registered Nurse Anesthetist · NPI 1114237914

Mr. Scott Michael Dickerson, CRNA is a Certified Registered Nurse Anesthetist (CRNA) in Elyria, Ohio. Qualified in 2010, 16 years ago. Practices with Elyria Anesthesia Incorporated, a 64-clinician group and accepts Medicare assignment. Licensed in Ohio.

Years since qualifying
16
Licensed in
OH
In the registry since
2010
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

630 E River St
Elyria, OH 44035-5902
Phone: (440) 329-7536
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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 318582 (OH)

Record details

NPI number1114237914
Entity typeIndividual (Type 1)
GenderMale
Credentials CRNA
Sole proprietorNo
NPI enumeratedOctober 14, 2010
Last updated in NPPESOctober 14, 2010

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Group practice Elyria Anesthesia Incorporated — 64 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Elyria