NPIMap

Individual provider Active NPI

Tyson Summers, CRNA

  • Certified Registered Nurse Anesthetist
  • Albany, OR
National Provider Identifier
1679907323
Registry record updated Dec 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
201392028CRNA Issued in OR
Practice address
1046 6TH Ave SW
Albany, OR 97321-1916
Phone
(541) 812-4000
NPI assigned
Aug 29, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2025

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 201392028CRNA OR Primary

Addresses

Primary practice location

1046 6TH Ave SW
Albany, OR 97321-1916

Mailing address

PO Box 1189
Corvallis, OR 97339-1189

Other practice location 1

3099 River Rd S # 100
Salem, OR 97302-9754
Phone (503) 758-0892

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address tsummers338796@samhealth.direct-ci.com

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20131021001993 OR Practitioner - Certified Registered Nurse Anesthetist (Crna) 2466687835 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Santiam Memorial Hospital 128 clinicians
Northstar Anesthesia of Oregon LLC 2 clinicians
Noble Dreams Anesthesia LLC 5 clinicians

Practice addresses (Care Compare)

1401 N 10TH Ave
Stayton, OR 97383-1311
Phone (503) 769-2175

2525 12TH St SE
Suite 110
Salem, OR 97302-2281
Phone (503) 364-3704

3099 River Rd S
Suite 100
Salem, OR 97302-9754
Phone (503) 758-0892

Hospital & facility affiliations

  • Samaritan Albany General Hospital Hospital, Albany, OR, CCN 380022
  • Santiam Hospital & Clinics Hospital, Stayton, OR, CCN 380056

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
201392028CRNAORMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Mid-Valley Healthcare, Inc. CurrentSince Dec 1, 2025 Accepting new patients
Albany General Hospital Current Accepting new patients
Samaritan Pacific Health Services Inc CurrentSince Mar 1, 2026 Accepting new patients
Santiam Memorial Hospital CurrentSince Oct 20, 2025 Accepting new patients
Albany General Hospital CurrentSince Dec 1, 2025 Accepting new patients
Good Samaritan Hospital Corvallis CurrentSince Dec 1, 2025 Accepting new patients
Samaritan Pacific Health Services, Inc. CurrentSince Mar 1, 2026 Accepting new patients
Noble Dreams Anesthesia LLC Nurse Anesthetist, Certified Registered CurrentSince Jan 24, 2018 Accepting new patients
Samaritan North Lincoln Hospital CurrentSince Mar 1, 2026 Accepting new patients
Samaritan North Lincoln Hospital CurrentSince Mar 1, 2026 Accepting new patients
Good Samaritan Hospital Corvallis CurrentSince Dec 1, 2025 Accepting new patients
Samaritan Pacific Health Services, Inc CurrentSince Mar 1, 2026 Accepting new patients
Samaritan North Lincoln Hospital CurrentSince Mar 1, 2026 Accepting new patients
Mid-Valley Healthcare, Inc. CurrentSince Dec 1, 2025 Accepting new patients
Santiam Memorial Hospital CurrentSince Oct 20, 2025 Accepting new patients
Albany General Hospital CurrentSince Dec 1, 2025 Accepting new patients
Good Samaritan Hospital Corvallis Current Accepting new patients
Santiam Memorial Hospital Current Accepting new patients
Mid-Valley Healthcare Inc Current Accepting new patients
Mid-Valley Healthcare Inc CurrentSince Dec 1, 2025 Accepting new patients
Northstar Anesthesia of Oregon LLC Nurse Anesthetist, Certified Registered CurrentSince Oct 11, 2025 Accepting new patients

Locations

705 Elm St SW
Ste 200
Albany, OR 97321
Phone (541) 812-4850

1046 6th Ave SW
Albany, OR 97321
Phone (541) 812-4000

3600 NW Samaritan Dr
Ste 227
Corvallis, OR 97330
Phone (541) 768-1261

325 Park St
Lebanon, OR 97355
Phone (541) 451-7200

3099 River Rd S
Ste 100
Salem, OR 97302
Phone (503) 361-3094

2525 12th St SE
Ste 110
Salem, OR 97302
Phone (503) 364-3704

3099 River Rd S
#100
Salem, OR 97302
Phone (503) 361-3094

1375 N 10th Ave
Ste B
Stayton, OR 97383
Phone (503) 769-7546

1401 N 10th Ave
Stayton, OR 97383
Phone (503) 769-2175

Organizations & group practices 28

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 28

Hospital & facility affiliations 19

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

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1377734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765152000000",
    "number": "1679907323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1189",
            "city": "CORVALLIS",
            "state": "OR",
            "postal_code": "973391189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1046 6TH AVE SW",
            "city": "ALBANY",
            "state": "OR",
            "postal_code": "973211916",
            "telephone_number": "541-812-4000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3099 River Rd S # 100",
            "address_purpose": "LOCATION",
            "city": "Salem",
            "state": "OR",
            "postal_code": "973029754",
            "country_code": "US",
            "telephone_number": "503-758-0892",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SUMMERS",
        "first_name": "TYSON",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-08-29",
        "last_updated": "2025-12-08",
        "certification_date": "2025-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "OR",
            "license": "201392028CRNA",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tsummers338796@samhealth.direct-ci.com",
            "affiliation": "N",
            "address_1": "1046 6th Ave SW",
            "city": "Albany",
            "state": "OR",
            "country_code": "US",
            "postal_code": "973211916",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Albany, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2025; 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.