Individual provider Active NPI

Gregory Ryan Daniels, CRNA

  • Certified Registered Nurse Anesthetist
  • Portland, OR
National Provider Identifier
1700216611
Registry record updated Sep 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
201604975CRNA Issued in OR
Practice address
1015 NW 22ND Ave
Portland, OR 97210-3025
Phone
(503) 413-7711
NPI assigned
Nov 14, 2013
Last updated
Sep 29, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X COA.15521-NA OH
Certified Registered Nurse Anesthetist 367500000X 95001113 CA
Certified Registered Nurse Anesthetist 367500000X 201604975CRNA OR Primary
Registered Nurse 163W00000X RN.369950 OH

Addresses

Primary practice location

1015 NW 22ND Ave
Portland, OR 97210-3025

Mailing address

20 Medical Village Dr Ste 258
Edgewood, KY 41017-5411
Phone (859) 341-7246

Other practice location 1

7500 State Rd
Cincinnati, OH 45255-2439
Phone (513) 624-4500

Other identifiers 1

IdentifierTypeStateIssuer
P01316392OtherOHRR MEDICARE NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, MO, ME, TN, NC5 enrollments

Enrollment records 5

Enrollment IDStateProvider typePAC IDDetails
I20190918001969 CA Practitioner - Certified Registered Nurse Anesthetist (Crna) 7214167352 Reassigns benefits to 2 organizations
I20210211002438 MO Practitioner - Certified Registered Nurse Anesthetist (Crna) 7214167352
I20210520002040 ME Practitioner - Certified Registered Nurse Anesthetist (Crna) 7214167352 Reassigns benefits to 1 organization
I20220126001076 TN Practitioner - Certified Registered Nurse Anesthetist (Crna) 7214167352 Reassigns benefits to 1 organization
I20230221003214 NC Practitioner - Certified Registered Nurse Anesthetist (Crna) 7214167352 Reassigns benefits to 1 organization

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
Carolinaeast Medical CenterGroup PAC ID 1557272564, 67 clinicians

Practice addresses (Care Compare)

1924 Alcoa Hwy
Knoxville, TN 37920-1511
Phone (865) 305-9220

2000 Neuse Blvd
New Bern, NC 28560-3449
Phone (252) 633-8111

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
7075NCMDDentist
RN.369950OHMDRegistered Nurse
95001113CAMDCertified Registered Nurse Anesthetist
COA.15521-NAOHMDCertified Registered Nurse Anesthetist
201604975CRNAORMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Regents of the Univ of Ca Current Accepting new patients
University Anesthesiologists, PLLC Nurse Anesthetist, Certified Registered CurrentSince May 1, 2022 Accepting new patients
Regents of the Univ of Ca Nurse Anesthetist, Certified Registered CurrentSince Mar 16, 2020 Accepting new patients
Arthur Christopher Vigil MD Inc CurrentSince Aug 1, 2019 Accepting new patients
Carolinaeast Medical Center CurrentSince Feb 7, 2023 Accepting new patients
Regents of the Univ of Ca CurrentSince Mar 16, 2020 Accepting new patients
Carolinaeast Medical Center Nurse Anesthetist, Certified Registered CurrentSince Feb 7, 2023 Accepting new patients
Kennebec Anesthesia Associates, P.a. CurrentSince Jun 14, 2021 Accepting new patients
Carolinaeast Medical Center Past Accepting new patients
Regents of the Univ of Ca Past Accepting new patients
University Anesthesiologists, PLLC Past Accepting new patients
Curators of the University of Missouri Past Accepting new patients

Locations

5959 Greenback Ln
Ste 310
Citrus Hts, CA 95621
Phone (916) 527-8921

2315 Stockton Blvd
Sacramento, CA 95817
Phone (916) 703-3030

2315 Stockton Blvd
Ste 1200
Sacramento, CA 95817
Phone (916) 734-5394

4900 Broadway
Ste 2800
Sacramento, CA 95820
Phone (916) 734-9313

35 Medical Center Pkwy
Augusta, ME 04330
Phone (207) 621-3639

35 Medical Center Pkwy
#201
Augusta, ME 04330
Phone (207) 622-1959

149 North St
Waterville, ME 04901
Phone (207) 622-1959

2000 Neuse Blvd
New Bern, NC 28560
Phone (252) 633-8104

1924 Alcoa Hwy
#U109
Knoxville, TN 37920
Phone (865) 305-9220

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 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": "1384387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790640000000",
    "number": "1700216611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 MEDICAL VILLAGE DR STE 258",
            "city": "EDGEWOOD",
            "state": "KY",
            "postal_code": "410175411",
            "telephone_number": "859-341-7246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1015 NW 22ND AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972103025",
            "telephone_number": "503-413-7711"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7500 State Rd",
            "address_purpose": "LOCATION",
            "city": "Cincinnati",
            "state": "OH",
            "postal_code": "452552439",
            "country_code": "US",
            "telephone_number": "513-624-4500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DANIELS",
        "first_name": "GREGORY",
        "middle_name": "RYAN",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-11-14",
        "last_updated": "2026-09-29",
        "certification_date": "2025-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "OH",
            "license": "COA.15521-NA",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "CA",
            "license": "95001113",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "OR",
            "license": "201604975CRNA",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OH",
            "license": "RN.369950",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE NUMBER",
            "identifier": "P01316392",
            "state": "OH"
        }
    ],
    "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 Sep 29, 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.