Individual provider Active NPI

Jaclyn Rochefort

  • Certified Registered Nurse Anesthetist
  • Albany, OR
National Provider Identifier
1184269243
Registry record updated Nov 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
10000196 Issued in OR
Practice address
1046 6TH Ave SW
Albany, OR 97321-1916
Phone
(541) 812-4000
NPI assigned
Nov 13, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 14, 2022

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 AnesthetistGroup: 193400000X SINGLE SPECIALTY GROUP 367500000X 4704326890 MI
Certified Registered Nurse Anesthetist 367500000X 10000196 OR Primary

Addresses

Primary practice location

1046 6TH Ave SW
Albany, OR 97321-1916

Mailing address

PO Box 1188
Corvallis, OR 97339-1188

Other practice location 1

5381 Frovan Pl
Saginaw, MI 48638-5573
Phone (989) 550-3033

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jrochefort243794@samhealth.direct-ci.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR, MI2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20221202000008 OR Practitioner - Certified Registered Nurse Anesthetist (Crna) 9739557307 Reassigns benefits to 1 organization
I20241218000545 MI Practitioner - Certified Registered Nurse Anesthetist (Crna) 9739557307 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
McLaren Thumb RegionGroup PAC ID 6800709221, 39 clinicians
Munson Healthcare CadillacGroup PAC ID 6305161514, 104 clinicians

Practice addresses (Care Compare)

1100 S Van Dyke Rd
Bad Axe, MI 48413-9615
Phone (989) 269-9521

400 Hobart St
Cadillac, MI 49601-2331
Phone (231) 876-3876

Hospital & facility affiliations

  • Munson Healthcare Cadillac Hospital Hospital, Cadillac, MI, CCN 230081

Merit-based Incentive Payment System (MIPS)

Final score
91.14 of 100Reported as group
Quality
85.78
Promoting interoperability
100
Improvement activities
40
Cost
78.31

Merit-based Incentive Payment System (MIPS)

Final score
96.77 of 100Reported as group
Quality
88.09
Promoting interoperability
100
Improvement activities
40
Cost
84.48

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as apm
Quality
85.92
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
94.37 of 100Reported as group
Quality
92.31
Promoting interoperability
100
Improvement activities
40
Cost
80.9

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10000196ORMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Emerald Valley Anesthesia Single Specialty CurrentSince Feb 1, 2024 Accepting new patients
Munson Healthcare Cadillac Single Specialty CurrentSince Nov 1, 2024 Accepting new patients
Huron Pathology Services PC Single Specialty Current Accepting new patients
Munson Medical Group CurrentSince Nov 1, 2024 Accepting new patients
Munson Healthcare Otsego Memorial Hospital Single Specialty Current Accepting new patients
McLaren Thumb Region Single Specialty CurrentSince Apr 27, 2025 Accepting new patients
McLaren Thumb Region CurrentSince Apr 27, 2025 Accepting new patients
Munson Healthcare Otsego Memorial Hospital Single Specialty CurrentSince Nov 1, 2024 Accepting new patients
Munson Healthcare Cadillac Single Specialty CurrentSince Nov 1, 2024 Accepting new patients
Munson Medical Group Single Specialty Current Accepting new patients
McLaren Thumb Region Single Specialty Current Accepting new patients
Munson Medical Group Nurse Anesthetist, Certified Registered CurrentSince Nov 1, 2024 Accepting new patients
Munson Healthcare Otsego Memorial Hospital Single Specialty Current Accepting new patients
Munson Healthcare Otsego Memorial Hospital Single Specialty CurrentSince Nov 1, 2024 Accepting new patients
Munson Healthcare Cadillac Single Specialty Past Accepting new patients

Locations

3775 Momentum Pl
Chicago, IL 60689

2891 Momentum Pl
Chicago, IL 60689

1100 S Van Dyke Rd
Bad Axe, MI 48413
Phone (989) 269-9521

400 Hobart St
Cadillac, MI 49601
Phone (231) 876-7200

825 N Center Ave
Gaylord, MI 49735
Phone (989) 731-2100

829 N Center Ave
Ste 210
Gaylord, MI 49735
Phone (989) 731-7860

1200 Sixth St
Ste 200
Traverse City, MI 49684

1105 Sixth St
Traverse City, MI 49684
Phone (231) 922-9000

400 10th St E
Waconia, MN 55387

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

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

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

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

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

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

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

Interoperability endpoints

  • Direct secure messaging: jrochefort243794@samhealth.direct-ci.com

Organizations & group practices 15

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.

View all 15

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": "1573603200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668384000000",
    "number": "1184269243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1188",
            "city": "CORVALLIS",
            "state": "OR",
            "postal_code": "973391188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1046 6TH AVE SW",
            "city": "ALBANY",
            "state": "OR",
            "postal_code": "973211916",
            "telephone_number": "541-812-4000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5381 Frovan Pl",
            "address_purpose": "LOCATION",
            "city": "Saginaw",
            "state": "MI",
            "postal_code": "486385573",
            "country_code": "US",
            "telephone_number": "989-550-3033",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROCHEFORT",
        "first_name": "JACLYN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-11-13",
        "last_updated": "2022-11-14",
        "certification_date": "2022-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MI",
            "license": "4704326890",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "OR",
            "license": "10000196",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jrochefort243794@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": []
}

Other providers in Albany, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2022; 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.