Active NPI
Cesar D Caceres, CRNA
- Certified Registered Nurse Anesthetist
- Vancouver, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- AP60929132
- Practice address
- 400 NE Mother Joseph PL
Vancouver, WA 98664 - Phone
- (360) 828-5396
- NPI assigned
- Aug 2, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | AP60929132 | WA | Primary |
Addresses
Primary practice location
400 NE Mother Joseph PL
Vancouver, WA 98664
Mailing address
505 NE 87TH Ave Ste 210
Vancouver, WA 98664-1988
Phone (360) 828-5396
Other practice location 1
5050 NE Hoyt St
Suite 315
Portland, OR 97213-2982
Phone (503) 215-8580
Other practice location 2
2211 NE 139th St
Vancouver, WA 98686-2742
Phone (360) 828-5396
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA, OR
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4805 NE Glisan St
Portland, OR 97213-2933
Phone (503) 215-1111
9205 SW Barnes Rd
Portland, OR 97225-6603
Phone (503) 216-1234
Hospital & facility affiliations
- Providence Portland Medical Center
- Providence Milwaukie Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 73.51 of 100
- Quality
- 68.84
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP60929132 | WA | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Columbia Anesthesia Group P S | Current | Accepting new patients | |
| Hospitalist Medicine Physicians of Washington - TCS | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
Locations
9205 SW Barnes Rd
Portland, OR 97225
Phone (503) 216-1234
400 NE Mother Joseph Pl
Vancouver, WA 98664
Phone (360) 514-2000
2211 NE 139th St
Vancouver, WA 98686
Phone (360) 397-1985
505 NE 87th Ave
Ste 210
Vancouver, WA 98664
Phone (360) 828-5396
Organizations & group practices 2
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.
-
- Anesthesiology Physician
- Portland, OR
- NPI 1649816380
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Vancouver, WA
- NPI 1861448235
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Portland, OR
- NPI 1003991845
-
- Case Manager/Care Coordinator
- Portland, OR
- NPI 1891822995
Hospital
-
- General Acute Care Hospital
- Milwaukie, OR
- NPI 1366536963
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1375401600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1548201600000",
"number": "1194157909",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "505 NE 87TH AVE STE 210",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "986641988",
"telephone_number": "360-828-5396"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 NE MOTHER JOSEPH PL",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "98664",
"telephone_number": "360-828-5396"
}
],
"practiceLocations": [
{
"address_1": "5050 NE HOYT ST",
"address_2": "SUITE 315",
"address_purpose": "LOCATION",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972132982",
"country_code": "US",
"telephone_number": "503-215-8580",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2211 NE 139th St",
"address_purpose": "LOCATION",
"city": "Vancouver",
"state": "WA",
"postal_code": "986862742",
"country_code": "US",
"telephone_number": "360-828-5396",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CACERES",
"first_name": "CESAR",
"middle_name": "D",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-08-02",
"last_updated": "2019-01-23",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "WA",
"license": "AP60929132",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Vancouver, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2019; 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.