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

Individual provider Certified Registered Nurse Anesthetist · NPI 1003592254

Dallin Hazelgren is a Certified Registered Nurse Anesthetist (CRNA) in Gilbert, Arizona. Qualified in 2023, 3 years ago. Practices with Banner Hospital Based Physicians Arizona LLC, a 641-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Arizona.

Years since qualifying
3
Licensed in
AZ
In the registry since
2023
Specialties on file
2
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Practice location Address checks out

1900 N Higley Rd
Gilbert, AZ 85234-1604
Phone: (480) 543-2000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2095 W Pecos Rd Ste 1, Chandler, AZ 85224-5725 — (480) 616-9814

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence 229177 (AZ)
Certified Registered Nurse Anesthetist Taxonomy 367500000X · Licence 149383 (AZ)

Record details

NPI number1003592254
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJune 23, 2023
Last updated in NPPESJune 20, 2024
Certification dateAugust 30, 2023

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Banner Hospital Based Physicians Arizona Llc — 641 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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