Active NPI
Kirsten McMillan, RN
- Certified Registered Nurse Anesthetist
- Newberg, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 201500781CRNA
- Practice address
- 1001 Providence Dr
Newberg, OR 97132 - Phone
- (503) 537-1796
- NPI assigned
- Sep 12, 2012
- Last updated
- Jul 10, 2018
- Sex
- Female
- Sole proprietor
- Yes
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 | 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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 201500781CRNA | OR | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| DRS LLC | Current | Accepting new patients | |
| Anesthesia Associates Northwest LLC | Current | Accepting new patients | |
| Metropolitan Anesthesia LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Noble Dreams Anesthesia LLC | Nurse Anesthetist, Certified Registered | Past | 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
- 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.
-
- Anesthesiology Physician
- Milwaukie, OR
- NPI 1548281751
-
dba McMinnville Surgery Center
- Ambulatory Surgical Clinic/Center
- McMinnville, OR
- NPI 1295403426
-
- Anesthesiology Physician
- Portland, OR
- NPI 1720387954
Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Salem, OR
- NPI 1750889804
Nurse Anesthetist, Certified Registered
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.