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

Tracy Dickerson, CRNA

Individual provider Certified Registered Nurse Anesthetist · NPI 1942453113

Tracy Dickerson, CRNA is a Certified Registered Nurse Anesthetist (CRNA) in Oregon, Ohio. Qualified in 2008, 18 years ago. Practices with Promedica Central Physicians, a 784-clinician group and accepts Medicare assignment. Licensed in Ohio.

Years since qualifying
18
Licensed in
OH
In the registry since
2008
Specialties on file
2
What do these letters mean?
CRNA — Certified Registered Nurse Anesthetist
An advanced practice nurse who administers anaesthesia.

See every abbreviation used in this directory →

Practice location Address checks out

2801 Bay Park Dr
Oregon, OH 43616-4920
Phone: (419) 690-7900
Fax: (419) 697-7726
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 APRN.CRNA.10348 (OH)
Certified Registered Nurse Anesthetist Taxonomy 367500000X · Licence RN219439 (OH)

Record details

NPI number1942453113
Entity typeIndividual (Type 1)
GenderFemale
Credentials CRNA
Sole proprietorNo
NPI enumeratedOctober 31, 2008
Last updated in NPPESFebruary 4, 2020
Certification dateFebruary 4, 2020
Mailing address1 Seagate # 800, Toledo, OH 43604-1558

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2008 (18 years in practice)
Group practice Promedica Central Physicians — 784 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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