Individual provider Active NPI

Kirsten McMillan, RN

  • Certified Registered Nurse Anesthetist
  • Newberg, OR
National Provider Identifier
1326398843
Registry record updated Jul 10, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
201500781CRNA Issued in OR
Practice address
1001 Providence Dr
Newberg, OR 97132
Phone
(503) 537-1796
NPI assigned
Sep 12, 2012
Last updated
Jul 10, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 10, 2018

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 Anesthetist 367500000X 201500781CRNA OR Primary
Student in an Organized Health Care Education/Training Program 390200000X 200841359RN OR

Addresses

Primary practice location

1001 Providence Dr
Newberg, OR 97132

Mailing address

1001 Providence Dr
Newberg, OR 97132-7485
Phone (503) 537-1796

Other practice location 1

3181 SW Sam Jackson Park Rd
Portland, OR 97239-3011
Phone (503) 494-8311

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151001000147 OR Practitioner - Certified Registered Nurse Anesthetist (Crna) 2163730755 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse, Registered Nurse

State licenses

LicenseStateTypeSpecialty
201500781CRNAORMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
DRS LLC CurrentSince Jan 1, 2023 Accepting new patients
Anesthesia Associates Northwest LLC CurrentSince Jun 1, 2020 Accepting new patients
Metropolitan Anesthesia LLC Nurse Anesthetist, Certified Registered CurrentSince Feb 15, 2021 Accepting new patients
Noble Dreams Anesthesia LLC Nurse Anesthetist, Certified Registered PastSince Jan 1, 2023 Accepting new patients

Locations

2445 NE Cumulus Ave
#B
McMinnville, OR 97128
Phone (503) 472-4688

1111 NE 99th Ave
Ste 302
Portland, OR 97220
Phone (503) 963-2707

120 NW 14th Ave
Ste 200
Portland, OR 97209
Phone (503) 771-1883

6400 SE Lake Rd
Ste 130
Portland, OR 97222
Phone (503) 594-1774

700 NE Multnomah St
Ste 1650
Portland, OR 97232
Phone (503) 734-1850

9701 SW Barnes Rd
Ste 300
Portland, OR 97225
Phone (503) 297-8081

Interoperability endpoints

  • Direct secure messaging: kirsten.mcmillan.p1@direct.mcminnvilleeyeclinic.nextgenshare.com

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1347408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531180800000",
    "number": "1326398843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 PROVIDENCE DR",
            "city": "NEWBERG",
            "state": "OR",
            "postal_code": "971327485",
            "telephone_number": "503-537-1796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 PROVIDENCE DR",
            "city": "NEWBERG",
            "state": "OR",
            "postal_code": "97132",
            "telephone_number": "503-537-1796"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3181 SW Sam Jackson Park Rd",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972393011",
            "country_code": "US",
            "telephone_number": "503-494-8311",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCMILLAN",
        "first_name": "KIRSTEN",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-09-12",
        "last_updated": "2018-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "OR",
            "license": "201500781CRNA",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "OR",
            "license": "200841359RN",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newberg, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2018; 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.

Verify at the official NPI Registry.