Individual provider Active NPI

Deanna M. Martin, CRNA

  • Certified Registered Nurse Anesthetist
  • Edmonds, WA
National Provider Identifier
1598819138
Registry record updated Apr 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
AP30007616 Issued in WA
Practice address
21401 72ND Ave W
Edmonds, WA 98026-7702
Phone
(425) 304-1101
Fax
(425) 412-1864
NPI assigned
Jan 22, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2026

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 RN00136243 WA
Certified Registered Nurse Anesthetist 367500000X AP30007616 WA Primary

Addresses

Primary practice location

21401 72ND Ave W
Edmonds, WA 98026-7702

Mailing address

7600 Evergreen Way
Everett, WA 98203-6421
Phone (206) 860-5414

Other identifiers 3

IdentifierTypeStateIssuer
9651951MedicaidWA
0218867OtherWAL&I PIN
87596UOtherWAREGENCE PIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, OR2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20070413000083 WA Practitioner - Certified Registered Nurse Anesthetist (Crna) 1759486152 Reassigns benefits to 7 organizations
I20230103002129 OR Practitioner - Certified Registered Nurse Anesthetist (Crna) 1759486152 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Optum Care Washington PLLCGroup PAC ID 6406752153, 684 clinicians

Practice addresses (Care Compare)

21401 72ND Ave W
Edmonds, WA 98026-7702
Phone (425) 304-1101

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN00136243WAMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Ally Anesthesia Services PLLC Nurse Anesthetist, Certified Registered Current Accepting new patients
Optum Care Washington PLLC CurrentSince Dec 9, 2019 Accepting new patients
University of Washington CurrentSince Mar 27, 2011 Accepting new patients
University of Washington CurrentSince Mar 27, 2011 Accepting new patients
Kaiser Foundation Health Plan of the Northwest Nurse Anesthetist, Certified Registered CurrentSince Jun 5, 2023 Accepting new patients
Bay Area Hospital District CurrentSince Sep 26, 2022 Accepting new patients
Kaiser Foundation Health Plan of the Northwest CurrentSince Jun 5, 2023 Accepting new patients
Bay Area Hospital District Nurse Anesthetist, Certified Registered CurrentSince Sep 26, 2022 Accepting new patients
University of Washington Current Accepting new patients
Anesthesia Dynamics LLC Nurse Anesthetist, Certified Registered CurrentSince Jun 5, 2023 Accepting new patients
Providence Wa Anesthesia Services, P.C. CurrentSince Apr 13, 2015 Accepting new patients
Kaiser Foundation Health Plan of the Northwest Nurse Anesthetist, Certified Registered Current Accepting new patients
Optum Care Washington PLLC CurrentSince Dec 9, 2019 Accepting new patients
Kaiser Foundation Health Plan of the Northwest Nurse Anesthetist, Certified Registered CurrentSince Jun 5, 2023 Accepting new patients
Optum Care Washington PLLC Past Accepting new patients

Locations

Dept LA 25339
Pasadena, CA 91185

10180 SE Sunnyside Rd
Clackamas, OR 97015
Phone (503) 571-2880

10100 SE Sunnyside Rd
Clackamas, OR 97015
Phone (503) 571-2946

2650 N 17th St
Coos Bay, OR 97420
Phone (541) 267-5411

1775 Thompson Rd
Coos Bay, OR 97420
Phone (541) 269-8090

7201 N Interstate Ave
Portland, OR 97217
Phone (503) 240-4051

2400 Lancaster Dr NE
Salem, OR 97305
Phone (503) 361-5400

21600 Highway 99
Ste 260
Edmonds, WA 98026
Phone (425) 774-2650

21401 72nd Ave W
Edmonds, WA 98026
Phone (425) 304-1101

1321 Colby Ave
Everett, WA 98201
Phone (425) 259-4413

1330 Rockefeller Ave
Everett, WA 98201
Phone (425) 258-3903

11800 NE 128th St
Ste 100
Kirkland, WA 98034
Phone (425) 899-4500

1230 7th Ave
Longview, WA 98632
Phone (360) 575-4801

1959 NE Pacific St
Seattle, WA 98195
Phone (206) 598-4333

501 N 34th St
Ste 101
Seattle, WA 98103
Phone (206) 838-1777

325 9th Ave
Seattle, WA 98104
Phone (206) 731-3000

4333 Brooklyn Ave NE
Seattle, WA 98195
Phone (206) 221-1700

1201 N 175th St
Shoreline, WA 98133
Phone (425) 339-4299

7101 NE 137th Ave
Vancouver, WA 98682
Phone (360) 418-6000

Organizations & group practices 16

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.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1169424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776729600000",
    "number": "1598819138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7600 EVERGREEN WAY",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982036421",
            "telephone_number": "206-860-5414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21401 72ND AVE W",
            "city": "EDMONDS",
            "state": "WA",
            "postal_code": "980267702",
            "telephone_number": "425-304-1101",
            "fax_number": "425-412-1864"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "DEANNA",
        "middle_name": "M.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-22",
        "last_updated": "2026-04-21",
        "certification_date": "2026-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "WA",
            "license": "RN00136243",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "WA",
            "license": "AP30007616",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9651951",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "L&I PIN",
            "identifier": "0218867",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE PIN",
            "identifier": "87596U",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Edmonds, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2026; 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.