Glen Deitrick, C.R.N.A

ActiveIndividual ProviderNurse Anesthetist
NPI issued: September 13, 2006

Quick Facts

NPI Number
1033214564
TypeIndividual
StatusActive
SpecialtyNurse Anesthetist
Taxonomy367500000X — Nurse Anesthetist
Phone
(228) 831-0204
StateMS

NPI Validation Status: Verified

Valid 10-digit NPI number (1033214564)
Active status confirmed
Verified by CMS NPPES Registry
HIPAA compliant identifier
Enumeration date on file (September 13, 2006)
Data source: CMS NPPES

Provider Overview

GLEN DEITRICK, C.R.N.A is a Nurse Anesthetist provider based in Gulfport, MS who has been registered with CMS since 2006. This NPI is currently Active under CMS NPPES registry.

Provider Details

NPI Number1033214564
Provider TypeIndividual Provider
GenderMale
CredentialC.R.N.A
StatusActive
Enumeration DateSeptember 13, 2006

Practice Location

CityGulfport
StateMS
ZIP Code39503-3485
Phone(228) 831-0204

Specialties & Licenses

★ Primary
SpecialtyNurse Anesthetist
Taxonomy Code367500000X
License StateMS

Mailing Address

CityGulfport
StateMS
ZIP Code39503-3485
Phone(228) 831-0204
Same as practice location

How to Use This NPI

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For Insurance Billing

Use NPI 1033214564 in Box 33 of the CMS-1500 claim form. This number is required by all major insurance carriers to identify the billing provider and process electronic medical claims.

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For Credentialing

Reference NPI 1033214564for provider credential verification. Hospital systems, state licensing boards, and CAQH directories query this number to verify the provider's active clinical status.

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For Patients

Share NPI 1033214564 with your insurance company. If you need to verify out-of-network benefits or file a reimbursement claim, your insurance provider will require this number to process it.

About Nurse Anesthetist

Specialists in Nurse Anesthetist provide expert clinical care within their specific domain, focusing on the diagnosis, treatment, and management of conditions relevant to their field of practice.

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68,489
Nurse Anesthetist Providers in the US

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People Also Ask

What is Glen Deitrick's NPI number?
Glen Deitrick's NPI number is 1033214564, a unique 10-digit identifier issued by the Centers for Medicare & Medicaid Services (CMS).
Is Glen Deitrick's NPI currently active?
Yes, Glen Deitrick's NPI status is Active as of the latest CMS NPPES database updates.
What does Glen Deitrick specialize in?
Glen Deitrick specializes in Nurse Anesthetist. The healthcare taxonomy code associated with this specialty is 367500000X.
Where does Glen Deitrick practice?
Glen Deitrick practices in Gulfport, MS 39503-3485.
When was Glen Deitrick's NPI issued?
Glen Deitrick's NPI was issued on September 13, 2006.
What is Glen Deitrick's provider type?
Glen Deitrick is registered as an Individual Provider under CMS NPI Type 1.