Individual provider Active NPI

Jason D Balazs, CRNA

  • Certified Registered Nurse Anesthetist
  • Bremerton, WA
National Provider Identifier
1124637269
Registry record updated May 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
AP61124930 Issued in WA
Practice address
1 Boone Rd
Bremerton, WA 98312-1894
Phone
(360) 475-4510
NPI assigned
Jul 24, 2020
Last updated
May 12, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 12, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X APN.0995652-CRNA CO
Certified Registered Nurse Anesthetist 367500000X AP61124930 WA Primary

Addresses

Primary practice location

1 Boone Rd
Bremerton, WA 98312-1894

Mailing address

9025 Triumph Ave NE
Bremerton, WA 98311-7803

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210223002907 WA Practitioner - Certified Registered Nurse Anesthetist (Crna) 8628483716 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Washington Gastroenterology PLLCGroup PAC ID 6204194848, 142 clinicians

Practice addresses (Care Compare)

3261 NW Mount Vintage Way
Suite 221
Silverdale, WA 98383-6039
Phone (360) 792-9118

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
APN.0995652-CRNACOMDCertified Registered Nurse Anesthetist
AP61124930WAMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Bainbridge Anesthesia Associates PS CurrentSince Jul 15, 2023 Accepting new patients
Washington Gastroenterology PLLC Nurse Anesthetist, Certified Registered CurrentSince Mar 15, 2023 Accepting new patients
Salish Sedation Services, PLLC Nurse Anesthetist, Certified Registered CurrentSince Mar 1, 2021 Accepting new patients
Washington Gastroenterology PLLC CurrentSince Mar 15, 2023 Accepting new patients
Gastroenterology Associates Clinical Practice, PLLC Nurse Anesthetist, Certified Registered CurrentSince Jun 1, 2021 Accepting new patients
Northwest Gastroenterology Professional LLC PastSince Aug 5, 1998 Accepting new patients
Digestive Disease & Endoscopy Center, LLC Past Accepting new patients

Locations

2930 Squalicum Pkwy
Ste 202
Bellingham, WA 98225
Phone (360) 734-1420

3111 Woburn St
Ste 201
Bellingham, WA 98226
Phone (360) 543-5054

6003 23rd Dr W
Ste 100
Everett, WA 98203

17700 SE 272nd St
Ste 420
Kent, WA 98042
Phone (253) 639-9660

209 Lilly Rd NE
Olympia, WA 98506
Phone (360) 413-8250

1703 S Meridian
Ste 203
Puyallup, WA 98371
Phone (253) 841-3933

1703 S Meridian
Ste 305
Puyallup, WA 98371
Phone (253) 841-3933

3261 NW Mount Vintage Way
Ste 221
Silverdale, WA 98383
Phone (360) 479-1952

9800 Levin Rd NW
Ste 102
Silverdale, WA 98383
Phone (360) 692-2728

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1595548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683849600000",
    "number": "1124637269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9025 TRIUMPH AVE NE",
            "city": "BREMERTON",
            "state": "WA",
            "postal_code": "983117803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 BOONE RD",
            "city": "BREMERTON",
            "state": "WA",
            "postal_code": "983121894",
            "telephone_number": "360-475-4510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALAZS",
        "first_name": "JASON",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-07-24",
        "last_updated": "2023-05-12",
        "certification_date": "2023-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "CO",
            "license": "APN.0995652-CRNA",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "WA",
            "license": "AP61124930",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bremerton, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.