Charles Dickerson, CRNA
NPI 1558701292 · Certified Registered Nurse Anesthetist · Jacksonville, FL
Charles Dickerson, CRNA is a Certified Registered Nurse Anesthetist provider in Jacksonville, FL (NPI 1558701292).
Provider details
- NPI number
- 1558701292
- Entity type
- Individual
- Primary specialty
- Certified Registered Nurse AnesthetistPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- CRNA
- Sex
- Male
- Sole proprietor
- No
- License
- 840135 (CA)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Nursing Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2013-06-26
- Last updated
- 2013-06-26
Frequently asked questions
- What is Charles Dickerson's NPI number?
- Charles Dickerson's National Provider Identifier (NPI) is 1558701292, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Charles Dickerson's specialty?
- Charles Dickerson is listed in the NPPES registry with a primary specialty of Certified Registered Nurse Anesthetist (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Charles Dickerson located?
- Charles Dickerson's practice location on file with NPPES is 2005 Knight Lane Bldg H, Jacksonville, FL 32212-0140.
- What is Charles Dickerson's phone number?
- The practice phone number listed in the NPPES registry for Charles Dickerson is (619) 532-6684.
- Is Charles Dickerson's NPI active?
- Yes — Charles Dickerson's NPI (1558701292) is active in the NPPES registry as of the last update on 2013-06-26.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.