Active NPI
John P. Jurkanin, CRNA
- Certified Registered Nurse Anesthetist
- Lincoln City, OR
National Provider Identifier
1235230210
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 200760009CRNA
- Practice address
- 3043 NE 28TH St
Lincoln City, OR 97367-4518 - Phone
- (541) 994-3661
- NPI assigned
- Sep 25, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 200760009CRNA | OR | Primary |
| Certified Registered Nurse Anesthetist | 367500000X | 041-185240 | IL |
Addresses
Primary practice location
3043 NE 28TH St
Lincoln City, OR 97367-4518
Mailing address
PO Box 1189
Corvallis, OR 97339-1189
Other practice location 1
1215 Franciscan Dr
Litchfield, IL 62056-1778
Phone (217) 324-8551
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0006821023 | Other | IL | BLUE CROSS |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jjurkanin7016@samhealth.direct-ci.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 041-185240 | IL | MD | Certified Registered Nurse Anesthetist |
| 200760009CRNA | OR | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lake Health District | Current | Accepting new patients | |
| Samaritan North Lincoln Hospital | Current | Accepting new patients | |
| Samaritan North Lincoln Hospital | Current | Accepting new patients | |
| Lake Health District | Past | Accepting new patients |
Locations
777 NW 9th St
Ste 102
Corvallis, OR 97330
Phone (541) 768-6769
700 S J St
Lakeview, OR 97630
Phone (541) 947-2114
3043 NE 28th St
Lincoln City, OR 97367
Phone (541) 994-3661
Organizations & group practices 5
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.
-
- Critical Access Hospital
- Lakeview, OR
- NPI 1376698522
-
- Critical Access Hospital
- Lincoln City, OR
- NPI 1306897491
-
- Hematology & Oncology Physician
- Lincoln City, OR
- NPI 1629338868
-
- Urology Physician
- Lincoln City, OR
- NPI 1679927636
-
- Critical Access Hospital
- Lakeview, OR
- NPI 1851399695
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159142400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1774224000000",
"number": "1235230210",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1189",
"city": "CORVALLIS",
"state": "OR",
"postal_code": "973391189"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3043 NE 28TH ST",
"city": "LINCOLN CITY",
"state": "OR",
"postal_code": "973674518",
"telephone_number": "541-994-3661"
}
],
"practiceLocations": [
{
"address_1": "1215 Franciscan Dr",
"address_purpose": "LOCATION",
"city": "Litchfield",
"state": "IL",
"postal_code": "620561778",
"country_code": "US",
"telephone_number": "217-324-8551",
"fax_number": "217-324-8722",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JURKANIN",
"first_name": "JOHN",
"middle_name": "P.",
"name_prefix": "Mr.",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-25",
"last_updated": "2026-03-23",
"certification_date": "2026-03-23",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "OR",
"license": "200760009CRNA",
"primary": true
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "IL",
"license": "041-185240",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "0006821023",
"state": "IL"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jjurkanin7016@samhealth.direct-ci.com",
"affiliation": "N",
"address_1": "3043 NE 28th St",
"city": "Lincoln City",
"state": "OR",
"country_code": "US",
"postal_code": "973674518",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Lincoln City, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.