Jason Brody Anderson

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

AP60842975 Issued in WA

Practice address

888 Swift Blvd # 180
Richland, WA 99352

Phone

(480) 593-6690

NPI assigned

Jan 26, 2018

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Specialty

Certified Registered Nurse Anesthetist (Crna)

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Evergreen Anesthesia Associates LLCGroup PAC ID 7113284530, 26 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Astria Sunnyside Hospital Hospital, Sunnyside, WA, CCN 501330

Merit-based Incentive Payment System (MIPS)

Final score

80.91 of 100Reported as group

Quality

66.6

Promoting interoperability

100

Improvement activities

40

Cost

69.77

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

Practice roles

Locations

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

• Evergreen Anesthesia Associates, LLC

  • Certified Registered Nurse Anesthetist
  • Sunnyside, WA
  • NPI 1225575996

  Nurse Anesthetist, Certified Registered

  Medicare reassignment Care Compare group NPD
• Premier Anesthesia of Richland a Division of Premier Anesthesia, LLC

  • Anesthesiology Physician
  • Richland, WA
  • NPI 1013940253

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Premier Anesthesia of Florida LLC

  • Anesthesiology Physician
  • Bradenton, FL
  • NPI 1790330694

  Nurse Anesthetist, Certified Registered

  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Sunnyside Community Hospital Association

  • Critical Access Hospital
  • Sunnyside, WA
  • NPI 1225033814
  Care Compare affiliation

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

{
    "created_epoch": "1516924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536019200000",
    "number": "1154829992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1109 HANSON LOOP",
            "city": "BURBANK",
            "state": "WA",
            "postal_code": "993238537",
            "telephone_number": "480-593-6690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "888 SWIFT BLVD # 180",
            "city": "RICHLAND",
            "state": "WA",
            "postal_code": "99352",
            "telephone_number": "480-593-6690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "JASON",
        "middle_name": "BRODY",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-01-26",
        "last_updated": "2018-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WA",
            "license": "RN60825692",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "WA",
            "license": "AP60842975",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katayoon Amir Jalali
• Siamak Amrollahie, MD
• Lorena Anaya
• Peter Anda, PHARMD
• Amy Anderson
• Josie J Krieger Anderson
• Luron Anderson, PT
• Misty Dawn Anderson, RN
• Rebecca Jo Anderson, RN
• Sarah Anderson, M.AC.O.M,L.AC., EAMP

• Certified Registered Nurse Anesthetist in Richland, WA
• Providers in Richland, WA by specialty
• Certified Registered Nurse Anesthetist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2018; 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.