Individual provider Active NPI

Dewi Kae De Jarnett, CRNA

  • Certified Registered Nurse Anesthetist
  • Portland, OR
National Provider Identifier
1639414410
Registry record updated Dec 4, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
641832 Issued in CA
Practice address
1040 NW 22ND Ave
Portland, OR 97210-3057
Phone
(503) 413-7711
NPI assigned
Dec 4, 2012
Last updated
Dec 4, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 641832 CA Primary

Addresses

Primary practice location

1040 NW 22ND Ave
Portland, OR 97210-3057

Mailing address

2690 Royal Park Dr
Cameron Park, CA 95682-9218

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130528000739 OR Practitioner - Certified Registered Nurse Anesthetist (Crna) 9032357355 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Oregon Anesthesiology Group PCGroup PAC ID 3476451659, 239 clinicians
Hospitalist Medicine Physicians of Washington - TCSGroup PAC ID 6800240102, 197 clinicians

Practice addresses (Care Compare)

1015 NW 22ND Ave
Portland, OR 97210-3025
Phone (503) 299-9906

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

9205 SW Barnes Rd
Portland, OR 97225-6603
Phone (503) 216-1234

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
73.51 of 100Reported as group
Quality
68.84
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
641832CAMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Anesthetic Solutions, Inc Nurse Anesthetist, Certified Registered CurrentSince Nov 1, 2025 Accepting new patients
Oregon Anesthesiology Group PC CurrentSince Nov 21, 2023 Accepting new patients
Hospitalist Medicine Physicians of Washington - TCS Nurse Anesthetist, Certified Registered CurrentSince Jan 21, 2024 Accepting new patients
Columbia Anesthesia Group P S CurrentSince Dec 1, 2019 Accepting new patients
Legacy Good Samaritan Hospital and Medical Center Past Accepting new patients

Locations

400 10th St E
Waconia, MN 55387

1333 E Barnett Rd
Medford, OR 97504
Phone (541) 779-4711

1015 NW 22nd Ave
Portland, OR 97210
Phone (503) 413-7582

12050 SE Stevens Rd
Ste 400
Portland, OR 97086
Phone (971) 206-6100

707 SW Washington St
Ste 700
Portland, OR 97205

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

13240 SW Pacific Hwy
Tigard, OR 97223
Phone (503) 639-6571

7300 SW Childs Rd
Ste A
Tigard, OR 97224
Phone (360) 828-5396

505 NE 87th Ave
Ste 210
Vancouver, WA 98664
Phone (360) 828-5396

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

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": "1354579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1354579200000",
    "number": "1639414410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2690 ROYAL PARK DR",
            "city": "CAMERON PARK",
            "state": "CA",
            "postal_code": "956829218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1040 NW 22ND AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972103057",
            "telephone_number": "503-413-7711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE JARNETT",
        "first_name": "DEWI",
        "middle_name": "KAE",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-12-04",
        "last_updated": "2012-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "CA",
            "license": "641832",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Dec 4, 2012; 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.