Individual provider Active NPI

Jennifer Ashley Reedal, CRNA

  • Certified Registered Nurse Anesthetist
  • Fresno, CA
National Provider Identifier
1558843326
Registry record updated Jun 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
202201579 Issued in OR
Practice address
2823 Fresno St
Fresno, CA 93721-1324
Phone
(559) 459-6000
NPI assigned
Aug 29, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 7, 2022

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 AnesthetistGroup: 193400000X SINGLE SPECIALTY GROUP 367500000X 202201579 OR Primary
Certified Registered Nurse Anesthetist 367500000X 95000957 CA

Addresses

Primary practice location

2823 Fresno St
Fresno, CA 93721-1324

Mailing address

2203 E Carnoustie Ave
Fresno, CA 93730-5153
Phone (541) 953-8452

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220527001776 OR Practitioner - Certified Registered Nurse Anesthetist (Crna) 9537405675 Reassigns benefits to 4 organizations

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
Complete Anesthesia Care LLCGroup PAC ID 7214187210, 17 clinicians
Hospitalist Medicine Physicians of Washington - TCSGroup PAC ID 6800240102, 197 clinicians

Practice addresses (Care Compare)

1130 NW 22ND Ave
Suite 615
Portland, OR 97210-2977
Phone (503) 229-7137

4805 NE Glisan St
Portland, OR 97213-2933
Phone (503) 215-1111

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
95000957CAMDCertified Registered Nurse Anesthetist
202201579ORMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Metropolitan Anesthesia LLC Single Specialty CurrentSince May 7, 2022 Accepting new patients
Complete Anesthesia Care LLC Single Specialty CurrentSince May 7, 2022 Accepting new patients
Hospitalist Medicine Physicians of Washington - TCS Single Specialty CurrentSince Jun 28, 2025 Accepting new patients
Anesthesia Associates Northwest LLC Single Specialty CurrentSince Feb 10, 2022 Accepting new patients
Somnus Anesthesia Northwest Single Specialty Past Accepting new patients

Locations

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

9200 SE 91st Ave
Ste 100
Portland, OR 97086
Phone (503) 722-6160

1130 NW 22nd Ave
Ste 410
Portland, OR 97210
Phone (503) 229-7137

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

9205 SW Barnes Rd
Portland, OR 97225
Phone (503) 216-1234

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

1130 NW 22nd Ave
Ste 615
Portland, OR 97210
Phone (503) 229-7137

4805 NE Glisan St
Portland, OR 97213
Phone (503) 215-1111

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

Interoperability endpoints

  • Direct secure messaging: jreedal3166848@oc.providencedirect.org

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1535500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654560000000",
    "number": "1558843326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2203 E CARNOUSTIE AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937305153",
            "telephone_number": "541-953-8452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2823 FRESNO ST",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937211324",
            "telephone_number": "559-459-6000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REEDAL",
        "first_name": "JENNIFER",
        "middle_name": "ASHLEY",
        "name_prefix": "Ms.",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-08-29",
        "last_updated": "2022-06-07",
        "certification_date": "2022-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "OR",
            "license": "202201579",
            "primary": true
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "CA",
            "license": "95000957",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresno, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2022; 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.

Verify at the official NPI Registry.