Active NPI
Jana Ann Mines, CRNA
- Certified Registered Nurse Anesthetist
- Portland, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 201060002CRNA
- Practice address
- 3181 SW Sam Jackson Park Rd
Portland, OR 97239-3011 - Phone
- (503) 494-1414
- NPI assigned
- Sep 28, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 074017 | NC | |
| Certified Registered Nurse Anesthetist | 367500000X | AP30007771 | WA | |
| Registered Nurse | 163W00000X | RN00173866 | WA | |
| Certified Registered Nurse Anesthetist | 367500000X | 201060002CRNA | OR | Primary |
Addresses
Primary practice location
3181 SW Sam Jackson Park Rd
Portland, OR 97239-3011
Mailing address
3135 NE 18TH Ave
Portland, OR 97212-2325
Phone (919) 395-6572
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8052410 | Medicaid | NC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3181 SW Sam Jackson Park Rd
Portland, OR 97239-3011
Phone (503) 494-7641
Hospital & facility affiliations
- Ohsu Hospital and Clinics
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Quality
- 98.65
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN00173866 | WA | MD | Registered Nurse |
| 074017 | NC | MD | Certified Registered Nurse Anesthetist |
| 201060002CRNA | OR | MD | Certified Registered Nurse Anesthetist |
| AP30007771 | WA | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University Anesthesiology Associates, LLC | Current | Accepting new patients | |
| Anesthesia Associates Northwest LLC | Current | Accepting new patients | |
| Durham Anesthesia Associates PA | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| Regional Anesthesia, PLLC | Past | Accepting new patients | |
| Sedation Services Inc. | Past | Accepting new patients | |
| University of Washington | Past | Accepting new patients |
Locations
1508 Division St
Ste 15
Oregon City, OR 97045
Phone (503) 657-5555
3181 SW Sam Jackson Park Rd
Portland, OR 97239
Phone (503) 494-5674
120 NW 14th Ave
Ste 200
Portland, OR 97209
Phone (503) 771-1883
Interoperability endpoints
- jmines96092@direct.ohsu.edu
Organizations & group practices 6
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.
-
- Anesthesiology Physician
- Portland, OR
- NPI 1841217817
-
- Anesthesiology Physician
- Milwaukie, OR
- NPI 1548281751
-
- Anesthesiology Physician
- Oregon City, OR
- NPI 1659639920
-
- Specialist
- Durham, NC
- NPI 1730275744
Nurse Anesthetist, Certified Registered
-
- Specialist
- Durham, NC
- NPI 1952486946
-
- General Acute Care Hospital
- Seattle, WA
- NPI 1669639712
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Portland, OR
- NPI 1609824010
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159401600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1456531200000",
"number": "1669564860",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3135 NE 18TH AVE",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972122325",
"telephone_number": "919-395-6572"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3181 SW SAM JACKSON PARK RD",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972393011",
"telephone_number": "503-494-1414"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MINES",
"first_name": "JANA",
"middle_name": "ANN",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-28",
"last_updated": "2016-02-27",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "NC",
"license": "074017",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "WA",
"license": "AP30007771",
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "WA",
"license": "RN00173866",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "OR",
"license": "201060002CRNA",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8052410",
"state": "NC"
}
],
"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 Feb 27, 2016; 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.