Individual provider Active NPI

Brenna Elena Wolford, CRNA

  • Certified Registered Nurse Anesthetist
  • Bend, OR
National Provider Identifier
1144429994
Registry record updated Mar 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
200560029CRNA Issued in OR
Practice address
61069 SE Echo Lake CT.
Bend, OR 97702
Phone
(541) 490-3527
NPI assigned
Jul 12, 2007
Last updated
Mar 21, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 39 AZ
Certified Registered Nurse Anesthetist 367500000X 2976 CA
Certified Registered Nurse Anesthetist 367500000X 200560029CRNA OR Primary

Addresses

Primary practice location

61069 SE Echo Lake CT.
Bend, OR 97702

Mailing address

13400 E Shea Blvd
Scottsdale, AZ 85259-5499
Phone (480) 301-8000

Other practice location 1

61069 SE Echo Lake Ct.
Bend, OR 97702
Phone (541) 490-3527

Other practice location 2

1046 6th Ave SW
Albany, OR 97321-1916
Phone (541) 812-4000

Other names 1

  • Mrs. Brenna Elena Lopez-Otero Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address bwolford320454@samhealth.direct-ci.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, OR2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20050411001330 CA Practitioner - Certified Registered Nurse Anesthetist (Crna) 2567409527 Reassigns benefits to 1 organization
I20070926001093 OR Practitioner - Certified Registered Nurse Anesthetist (Crna) 2567409527 Reassigns benefits to 11 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Springfield Or Anesthesia Associates LLCGroup PAC ID 4486917390, 6 clinicians

Practice addresses (Care Compare)

1007 Harlow Rd
Suite 110
Springfield, OR 97477-7125
Phone (541) 726-8882

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2976CAMDSchool Psychologist
39AZMDCertified Registered Nurse Anesthetist
200560029CRNAORMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Juniper Anesthesia, Inc. Nurse Anesthetist, Certified Registered CurrentSince Sep 1, 2021 Accepting new patients
Bay Area Hospital District Nurse Anesthetist, Certified Registered CurrentSince Mar 1, 2020 Accepting new patients
Hospitalist Medicine Physicians of Washington - TCS Nurse Anesthetist, Certified Registered CurrentSince Feb 13, 2024 Accepting new patients
Albany General Hospital CurrentSince Mar 3, 2025 Accepting new patients
Oregon Pain Management LLC CurrentSince Aug 12, 2019 Accepting new patients
Emerald Valley Anesthesia Nurse Anesthetist, Certified Registered CurrentSince Apr 17, 2024 Accepting new patients
Ba Ventures LLC CurrentSince Sep 12, 2023 Accepting new patients
North Bend Medical Center Inc CurrentSince Feb 1, 2020 Accepting new patients
Albany General Hospital Current Accepting new patients
Lifelinc Anesthesia VI PC Nurse Anesthetist, Certified Registered CurrentSince Dec 6, 2024 Accepting new patients
Anesthesia Associates Northwest LLC CurrentSince Feb 1, 2014 Accepting new patients
North Bend Medical Center Inc CurrentSince Feb 1, 2020 Accepting new patients
Bay Area Hospital District CurrentSince Mar 1, 2020 Accepting new patients
Complete Anesthesia Care LLC Nurse Anesthetist, Certified Registered CurrentSince Feb 1, 2023 Accepting new patients
Mid-Valley Healthcare Inc CurrentSince Mar 3, 2025 Accepting new patients
Metropolitan Anesthesia LLC Nurse Anesthetist, Certified Registered CurrentSince Feb 1, 2023 Accepting new patients
Springfield Or Anesthesia Associates LLC Nurse Anesthetist, Certified Registered CurrentSince Sep 28, 2020 Accepting new patients

Locations (25 of 27)

Dept LA 25339
Pasadena, CA 91185

75 Nielson St
Watsonville, CA 95076
Phone (831) 724-4741

400 10th St E
Waconia, MN 55387

1046 6th Ave SW
Albany, OR 97321
Phone (541) 812-4000

1475 SW Chandler Ave
Ste 102
Bend, OR 97702
Phone (541) 548-7170

2115 NE Wyatt Ct
Ste 201
Bend, OR 97701
Phone (541) 610-7246

1900 Woodland Dr
Coos Bay, OR 97420
Phone (541) 267-5151

2650 N 17th St
Coos Bay, OR 97420
Phone (541) 267-5411

940 E 5th St
Coquille, OR 97423
Phone (541) 396-3101

940 Country Club Rd
Eugene, OR 97401
Phone (541) 344-2600

360 S Garden Way
Ste 230
Eugene, OR 97401
Phone (541) 344-4168

590 Country Club Pkwy
Ste A
Eugene, OR 97401
Phone (541) 683-1559

74B Centennial Loop
Ste 200
Eugene, OR 97401
Phone (541) 393-0925

360 S Garden Way
Ste 290
Eugene, OR 97401
Phone (541) 844-1807

700 NE Multnomah St
Ste 1650
Portland, OR 97232
Phone (503) 734-1850

1130 NW 22nd Ave
Ste 410
Portland, OR 97210
Phone (503) 229-7137

9205 SW Barnes Rd
Portland, OR 97225
Phone (503) 216-1234

120 NW 14th Ave
Ste 200
Portland, OR 97209
Phone (503) 771-1883

1130 NW 22nd Ave
Ste 615
Portland, OR 97210
Phone (503) 229-7137

1111 NE 99th Ave
Ste 302
Portland, OR 97220
Phone (503) 963-2707

9701 SW Barnes Rd
Ste 300
Portland, OR 97225
Phone (503) 297-8081

2435 NW Kline St
Roseburg, OR 97471
Phone (541) 672-2020

1330 Commercial St SE
Salem, OR 97302
Phone (503) 763-1973

2480 Liberty St NE
Ste 180
Salem, OR 97301
Phone (503) 371-1010

1007 Harlow Rd
Ste 110
Springfield, OR 97477
Phone (541) 726-8882

Organizations & group practices 17

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.

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1184198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742515200000",
    "number": "1144429994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13400 E SHEA BLVD",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852595499",
            "telephone_number": "480-301-8000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "61069 SE ECHO LAKE CT.",
            "city": "BEND",
            "state": "OR",
            "postal_code": "97702",
            "telephone_number": "541-490-3527"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "61069 SE Echo Lake Ct.",
            "address_purpose": "LOCATION",
            "city": "Bend",
            "state": "OR",
            "postal_code": "97702",
            "country_code": "US",
            "telephone_number": "541-490-3527",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1046 6th Ave SW",
            "address_purpose": "LOCATION",
            "city": "Albany",
            "state": "OR",
            "postal_code": "973211916",
            "country_code": "US",
            "telephone_number": "541-812-4000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WOLFORD",
        "first_name": "BRENNA",
        "middle_name": "ELENA",
        "name_prefix": "Ms.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-12",
        "last_updated": "2025-03-21",
        "certification_date": "2025-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "AZ",
            "license": "39",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "CA",
            "license": "2976",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "OR",
            "license": "200560029CRNA",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "bwolford320454@samhealth.direct-ci.com",
            "affiliation": "N",
            "address_1": "1046 6th Ave SW",
            "city": "Albany",
            "state": "OR",
            "country_code": "US",
            "postal_code": "973211916",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "BRENNA",
            "last_name": "LOPEZ-OTERO",
            "middle_name": "ELENA",
            "prefix": "MRS.",
            "credential": "CRNA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Bend, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2025; 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.