Individual provider Active NPI

Kristen Anne Wren, CRNA

  • Certified Registered Nurse Anesthetist
  • Florence, OR
National Provider Identifier
1174069637
Registry record updated Aug 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
201906836CRNA-PP Issued in OR
Practice address
400 9TH St
Florence, OR 97439-7398
Phone
(541) 997-8412
Fax
(541) 997-1463
NPI assigned
Jan 9, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 17, 2026

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 794226 CA
Certified Registered Nurse Anesthetist 367500000X 201906836CRNA-PP OR Primary
Certified Registered Nurse Anesthetist 367500000X AP60737506 WA

Addresses

Primary practice location

400 9TH St
Florence, OR 97439-7398

Mailing address

PO Box 94406
Seattle, WA 98124-6706

Other practice location 1

800 W 5th Ave
Spokane, WA 99204
Phone (509) 458-5800

Other names 1

  • Kristen Dill Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR, ID2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20191111001729 OR Practitioner - Certified Registered Nurse Anesthetist (Crna) 2466737978 Reassigns benefits to 8 organizations
I20250722004441 ID Practitioner - Certified Registered Nurse Anesthetist (Crna) 2466737978 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Anesthesia Associates of Boise, P.a.Group PAC ID 2668385287, 183 clinicians

Practice addresses (Care Compare)

190 E Bannock St
Boise, ID 83712-6241
Phone (208) 381-2222

Hospital & facility affiliations

  • St Luke'S Regional Medical Center Hospital, Boise, ID, CCN 130006

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
794226CAMDCertified Registered Nurse Anesthetist
AP60737506WAMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Springfield Or Anesthesia Associates LLC Nurse Anesthetist, Certified Registered CurrentSince Jun 9, 2022 Accepting new patients
Sweet Dreams Anesthesia CurrentSince Aug 1, 2023 Accepting new patients
Olympic Anesthesia Services, Inc CurrentSince Aug 23, 2021 Accepting new patients
Pacific Cascade Pain and Anesthesia LLC Nurse Anesthetist, Certified Registered CurrentSince Apr 15, 2022 Accepting new patients
Anesthesia Associates Northwest LLC CurrentSince Dec 1, 2021 Accepting new patients
Anesthesia Associates, PS CurrentSince Mar 4, 2017 Accepting new patients
Anesthesia Associates of Boise, P.a. CurrentSince Jun 17, 2025 Accepting new patients
Coquille Valley Hospital District CurrentSince May 20, 2025 Accepting new patients
Emerald Valley Anesthesia Nurse Anesthetist, Certified Registered CurrentSince Jan 1, 2024 Accepting new patients
Pacific Surgery Center LLC CurrentSince Jan 1, 2022 Accepting new patients
Coquille Valley Hospital District CurrentSince May 20, 2025 Accepting new patients

Locations

190 E Bannock St
Boise, ID 83712
Phone (208) 381-2378

2537 W State St
Ste 200
Boise, ID 83702
Phone (208) 336-0895

338 E Bannock St
Boise, ID 83712
Phone (208) 336-0895

1000 State St
McCall, ID 83638
Phone (208) 634-2221

400 10th St E
Waconia, MN 55387

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

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

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

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

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

1125 Darlene Ln
Ste 201
Eugene, OR 97401
Phone (541) 342-1845

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

1125 Darlene Ln
Eugene, OR 97401
Phone (541) 683-5488

2075 Public Square Ct
North Bend, OR 97459
Phone (541) 305-6799

2040A Public Square Ct
North Bend, OR 97459
Phone (302) 757-9591

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

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

2445 Beverly St
Springfield, OR 97477
Phone (541) 284-3052

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

3355 Riverbend Dr
Ste 110
Springfield, OR 97477
Phone (541) 687-1336

2520 Cherry Ave
Bremerton, WA 98310
Phone (360) 377-3911

990 Sylvan Way
Bremerton, WA 98310
Phone (360) 479-3654

1800 NW Myhre Rd
Silverdale, WA 98383
Phone (360) 337-8800

800 W 5th Ave
Spokane, WA 99204
Phone (509) 458-5800

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/5c5c3b5c-6128-40bc-b71b-102ccb82d7e7/

Organizations & group practices 11

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.

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1483920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786924800000",
    "number": "1174069637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 94406",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981246706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 9TH ST",
            "city": "FLORENCE",
            "state": "OR",
            "postal_code": "974397398",
            "telephone_number": "541-997-8412",
            "fax_number": "541-997-1463"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "800 W 5th Ave",
            "address_purpose": "LOCATION",
            "city": "Spokane",
            "state": "WA",
            "postal_code": "99204",
            "country_code": "US",
            "telephone_number": "509-458-5800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WREN",
        "first_name": "KRISTEN",
        "middle_name": "ANNE",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-01-09",
        "last_updated": "2026-08-17",
        "certification_date": "2026-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "CA",
            "license": "794226",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "OR",
            "license": "201906836CRNA-PP",
            "primary": true
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "WA",
            "license": "AP60737506",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTEN",
            "last_name": "DILL",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Florence, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2026; 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.