Active NPI
Suzanne Michele Jagger, CRNA
- Certified Registered Nurse Anesthetist
- Portland, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 201602463CRNA-PP
- Practice address
- 12525 NW Cornell Rd Ste 204
Portland, OR 97229-5615 - Phone
- (971) 232-9232
- NPI assigned
- Mar 4, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 626041 | CA | |
| Certified Registered Nurse Anesthetist | 367500000X | 201602463CRNA-PP | OR | Primary |
Addresses
Primary practice location
12525 NW Cornell Rd Ste 204
Portland, OR 97229-5615
Mailing address
1925 NW 126TH PL
Portland, OR 97229-4627
Phone (408) 364-6103
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA, OR
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1130 NW 22ND Ave
Suite 615
Portland, OR 97210-2977
Phone (503) 229-7137
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 201602463CRNA-PP | OR | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kaiser Foundation Health Plan of the Northwest | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Complete Anesthesia Care LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Oregon Anesthesiology Group PC | Current | Accepting new patients | |
| Kaiser Foundation Health Plan of the Northwest | Current | Accepting new patients | |
| Kaiser Foundation Health Plan of the Northwest | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Anesthesia Associates Northwest LLC | Current | Accepting new patients | |
| Metropolitan Anesthesia LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| M. Atchison Crna Inc, a Professional Nursing Corp. | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
Locations
1000 Trancas St
Napa, CA 94558
Phone (707) 226-2901
7500 Hospital Dr
Sacramento, CA 95823
Phone (916) 423-3000
10100 SE Sunnyside Rd
Clackamas, OR 97015
Phone (503) 571-2946
1130 NW 22nd Ave
Ste 615
Portland, OR 97210
Phone (503) 229-7137
9701 SW Barnes Rd
Ste 300
Portland, OR 97225
Phone (503) 297-8081
120 NW 14th Ave
Ste 200
Portland, OR 97209
Phone (503) 771-1883
707 SW Washington St
Ste 700
Portland, OR 97205
1015 NW 22nd Ave
Portland, OR 97210
Phone (503) 413-7582
1130 NW 22nd Ave
Ste 410
Portland, OR 97210
Phone (503) 229-7137
2400 Lancaster Dr NE
Salem, OR 97305
Phone (503) 361-5400
Organizations & group practices 9
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.
-
- Certified Registered Nurse Anesthetist
- Portland, OR
- NPI 1932464492
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Milwaukie, OR
- NPI 1548281751
-
- General Practice Physician
- Portland, OR
- NPI 1184786527
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Portland, OR
- NPI 1720387954
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Portland, OR
- NPI 1477527786
-
- Certified Registered Nurse Anesthetist
- Napa, CA
- NPI 1073542213
Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Medford, OR
- NPI 1477022259
-
- General Practice Physician
- Portland, OR
- NPI 1306192455
Nurse Anesthetist, Certified Registered
-
- Clinic/Center
- Hillsboro, OR
- NPI 1942718622
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172966400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1704758400000",
"number": "1174652473",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1925 NW 126TH PL",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972294627",
"telephone_number": "408-364-6103"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12525 NW CORNELL RD STE 204",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972295615",
"telephone_number": "971-232-9232"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JAGGER",
"first_name": "SUZANNE",
"middle_name": "MICHELE",
"name_prefix": "Dr.",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-04",
"last_updated": "2024-01-09",
"certification_date": "2024-01-09",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "CA",
"license": "626041",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "OR",
"license": "201602463CRNA-PP",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Portland, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2024; 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.