Active NPI
Wendy Ann Gupta-Johnson, CRNA
- Certified Registered Nurse Anesthetist
- Portland, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 201906801CRNA-PP
- Practice address
- 3181 SW Sam Jackson Park Rd
Portland, OR 97239-3011 - Phone
- (503) 494-7641
- Fax
- (503) 494-4661
- NPI assigned
- Sep 23, 2018
- 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 | 125061 | PA | |
| Certified Registered Nurse Anesthetist | 367500000X | 201906801CRNA-PP | OR | Primary |
Addresses
Primary practice location
3181 SW Sam Jackson Park Rd
Portland, OR 97239-3011
Mailing address
3181 SW Sam Jackson Park Rd
Mail Code SJH-2
Portland, OR 97239
Phone (503) 494-7246
Other practice location 1
320 E North Ave
Pittsburgh, PA 15212-4756
Phone (412) 359-6581
Other names 1
- Wendy Ann Johnson
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | wjohnson204625@direct.ahn.org |
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
- University of Pittsburgh School of Medicine, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3181 SW Sam Jackson Park Rd
Portland, OR 97239-3011
Phone (503) 494-7641
Hospital & facility affiliations
- Ohsu Hospital and Clinics
Merit-based Incentive Payment System (MIPS)
- Final score
- 61 of 100
- Quality
- 59.41
- Promoting interoperability
- 0
- Improvement activities
- 40
- Cost
- 71.45
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Quality
- 98.65
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 95001515 | CA | MD | Primary Care Nurse Practitioner |
| 201906801CRNA-PP | OR | MD | Certified Registered Nurse Anesthetist |
| 125061 | PA | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| County of Santa Clara | Current | Accepting new patients | |
| Hospitalist Medicine Physicians of Washington - TCS | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| County of Santa Clara | Current | Accepting new patients | |
| County of Santa Clara | Current | Accepting new patients | |
| University Anesthesiology Associates, LLC | Current | Accepting new patients | |
| County of Santa Clara | Current | Accepting new patients | |
| County of Santa Clara | Current | Accepting new patients |
Locations
7475 Camino Arroyo
Gilroy, CA 95020
Phone (408) 852-2400
1993 McKee Rd
San Jose, CA 95116
Phone (408) 254-6320
1996 Lundy Ave
San Jose, CA 95131
Phone (408) 299-5846
500 Tully Rd
San Jose, CA 95111
Phone (408) 817-1433
750 S Bascom Ave
San Jose, CA 95128
Phone (408) 885-2320
2101 Alexian Dr
San Jose, CA 95116
Phone (408) 272-6050
751 S Bascom Ave
San Jose, CA 95128
Phone (408) 885-5110
660 S Fair Oaks Ave
Sunnyvale, CA 94086
Phone (408) 885-7366
9205 SW Barnes Rd
Portland, OR 97225
Phone (503) 216-1234
3181 SW Sam Jackson Park Rd
#2
Portland, OR 97239
Phone (503) 494-4910
3181 SW Sam Jackson Park Rd
Portland, OR 97239
Phone (503) 494-5674
Organizations & group practices 7
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 1841217817
-
- Anesthesiology Physician
- Portland, OR
- NPI 1649816380
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- San Jose, CA
- NPI 1588721500
-
- Federally Qualified Health Center (FQHC)
- San Jose, CA
- NPI 1629301346
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- San Jose, CA
- NPI 1699885079
-
- Federally Qualified Health Center (FQHC)
- San Jose, CA
- NPI 1043354020
-
- Pharmacy
- San Jose, CA
- NPI 1891871919
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Portland, OR
- NPI 1609824010
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1537660800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1717977600000",
"number": "1255815411",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3181 SW SAM JACKSON PARK RD",
"address_2": "MAIL CODE SJH-2",
"city": "PORTLAND",
"state": "OR",
"postal_code": "97239",
"telephone_number": "503-494-7246",
"fax_number": "503-494-8368"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3181 SW SAM JACKSON PARK RD",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972393011",
"telephone_number": "503-494-7641",
"fax_number": "503-494-4661"
}
],
"practiceLocations": [
{
"address_1": "320 E North Ave",
"address_purpose": "LOCATION",
"city": "Pittsburgh",
"state": "PA",
"postal_code": "152124756",
"country_code": "US",
"telephone_number": "412-359-6581",
"fax_number": "412-359-3483",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GUPTA-JOHNSON",
"first_name": "WENDY",
"middle_name": "ANN",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-09-23",
"last_updated": "2024-06-10",
"certification_date": "2024-06-10",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "PA",
"license": "125061",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "OR",
"license": "201906801CRNA-PP",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "wjohnson204625@direct.ahn.org",
"affiliation": "N",
"address_1": "320 E North Ave",
"city": "Pittsburgh",
"state": "PA",
"country_code": "US",
"postal_code": "152124756",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "WENDY",
"last_name": "JOHNSON",
"middle_name": "ANN",
"code": "1",
"type": "Former Name"
}
]
}
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 Jun 10, 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.