NPIMap

Individual provider Active NPI

Jaclyn Whitney Short

  • Certified Registered Nurse Anesthetist
  • Portland, OR
National Provider Identifier
1699144774
Registry record updated Aug 18, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
201801406CRNA-PP Issued in OR
Practice address
3455 SW US Veterans Hospital Rd
Portland, OR 97239
Phone
(970) 420-5017
NPI assigned
Sep 18, 2015
Last updated
Aug 18, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2018

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 201801406CRNA-PP OR Primary
Registered Nurse 163W00000X RN.0195636 CO

Addresses

Primary practice location

3455 SW US Veterans Hospital Rd
Portland, OR 97239

Mailing address

3455 SW US Veterans Hospital Rd
Portland, OR 97239-3076
Phone (970) 420-5017

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR, CO2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20190128001770 OR Practitioner - Certified Registered Nurse Anesthetist (Crna) 7113264292 Reassigns benefits to 5 organizations
I20211210001778 CO Practitioner - Certified Registered Nurse Anesthetist (Crna) 7113264292 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
US Anesthesia Partners of Colorado IncGroup PAC ID 6002072055, 472 clinicians
Hospitalist Medicine Physicians of Washington - TCSGroup PAC ID 6800240102, 197 clinicians

Practice addresses (Care Compare)

10103 Ridgegate Pkwy
Suite 312
Lone Tree, CO 80124-5525
Phone (303) 788-8888

4567 E 9TH Ave
Rose Medical Center
Denver, CO 80220-3908
Phone (303) 438-3999

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

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
84.8 of 100Reported as group
Quality
85
Improvement activities
40
Cost
76.83

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN.0195636COMDRegistered Nurse
201801406CRNA-PPORMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Kaiser Foundation Health Plan of the Northwest Nurse Anesthetist, Certified Registered Current Accepting new patients
Pacific Surgery Center LLC CurrentSince Aug 11, 2025 Accepting new patients
South Denver Gastroenterology, PC CurrentSince Mar 1, 2025 Accepting new patients
Kaiser Foundation Health Plan of the Northwest Nurse Anesthetist, Certified Registered CurrentSince May 24, 2021 Accepting new patients
South Denver Gastroenterology, PC Current Accepting new patients
Oregon Anesthesiology Group PC CurrentSince Jan 1, 2020 Accepting new patients
Hospitalist Medicine Physicians of Washington - TCS Nurse Anesthetist, Certified Registered CurrentSince May 23, 2025 Accepting new patients
South Denver Gastroenterology, PC Nurse Anesthetist, Certified Registered CurrentSince Mar 1, 2025 Accepting new patients
US Anesthesia Partners of Colorado Inc. Nurse Anesthetist, Certified Registered CurrentSince Dec 6, 2021 Accepting new patients
Kaiser Foundation Health Plan of the Northwest CurrentSince May 24, 2021 Accepting new patients
Columbia Pain and Spine Institute CurrentSince Oct 15, 2025 Accepting new patients
Burnside Surgery Center LLC PastSince Oct 15, 2025 Accepting new patients

Locations

3911 Ambrosia St
Ste 201
Castle Rock, CO 80109
Phone (303) 788-8888

4567 E 9th Ave
Denver, CO 80220
Phone (303) 302-2121

8000 E Maplewood Ave
Ste 120
Greenwood Village, CO 80111

10101 Ridgegate Pkwy
Lone Tree, CO 80124
Phone (720) 225-1000

10103 Ridgegate Pkwy
Ste 312
Lone Tree, CO 80124
Phone (303) 788-8888

10103 Ridgegate Pkwy
Ste 312A
Lone Tree, CO 80124
Phone (303) 788-8888

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

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

1125 Darlene Ln
Eugene, OR 97401
Phone (541) 683-5488

1125 Darlene Ln
Ste 201
Eugene, OR 97401
Phone (541) 342-1845

689 NW Burnside Rd
Gresham, OR 97030
Phone (503) 382-8100

1001 N Providence Dr
Newberg, OR 97132
Phone (503) 216-1538

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

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

707 SW Washington St
Ste 700
Portland, OR 97205

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

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

Interoperability endpoints

  • Direct secure messaging: jaclyn.short.1@3461.direct.athenahealth.com

Organizations & group practices 12

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 18

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

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1442534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534550400000",
    "number": "1699144774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3455 SW US VETERANS HOSPITAL RD",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972393076",
            "telephone_number": "970-420-5017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3455 SW US VETERANS HOSPITAL RD",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "97239",
            "telephone_number": "970-420-5017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHORT",
        "first_name": "JACLYN",
        "middle_name": "WHITNEY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-09-18",
        "last_updated": "2018-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "OR",
            "license": "201801406CRNA-PP",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CO",
            "license": "RN.0195636",
            "primary": false
        }
    ],
    "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 Aug 18, 2018; 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.