Individual provider Active NPI

Jacqueline Bates, CRNA

  • Certified Registered Nurse Anesthetist
  • Spokane, WA
National Provider Identifier
1720134323
Registry record updated Apr 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
AP30007633 Issued in WA
Practice address
W. 101 Eigth Avenue
Spokane, WA 99204
Phone
(509) 474-3131
NPI assigned
Jan 26, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2020

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 AP30007633 WA Primary

Addresses

Primary practice location

W. 101 Eigth Avenue
Spokane, WA 99204

Mailing address

2303 N Palisades
Spokane, WA 99224-9535
Phone (509) 993-5986

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070808000051 WA Practitioner - Certified Registered Nurse Anesthetist (Crna) 0547351488 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Spokane Digestive Disease Center PSGroup PAC ID 3476447350, 39 clinicians
Spokane Outpatient Anesthesia PLLCGroup PAC ID 4385010230, 22 clinicians

Practice addresses (Care Compare)

105 W 8TH Ave
Suite 6010
Spokane, WA 99204-2318
Phone (509) 838-5950

217 W Cataldo Ave
Spokane, WA 99201-2217
Phone (509) 624-2356

5715 N Lidgerwood St
Spokane, WA 99208-1225
Phone (509) 455-4455

Merit-based Incentive Payment System (MIPS)

Final score
80.09 of 100Reported as group
Quality
67.04
Promoting interoperability
88
Improvement activities
40
Cost
76.61

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP30007633WAMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Creative Anesthesia Solutions LLC Nurse Anesthetist, Certified Registered CurrentSince Jan 29, 2020 Accepting new patients
Bates Anesthesia PLLC Nurse Anesthetist, Certified Registered CurrentSince Aug 26, 2023 Accepting new patients
Spokane Digestive Disease Center, P.S. CurrentSince Oct 15, 2018 Accepting new patients
Spokane Outpatient Anesthesia PLLC CurrentSince Apr 10, 2023 Accepting new patients
Providence Health & Services - Washington Past Accepting new patients

Locations

101 W 8th Ave
Spokane, WA 99204
Phone (509) 474-3181

105 W 8th Ave
Ste 450E
Spokane, WA 99204
Phone (509) 474-6920

5715 N Lidgerwood St
Spokane, WA 99208
Phone (509) 455-4455

217 W Cataldo Ave
Spokane, WA 99201
Phone (509) 624-2326

105 W 8th Ave
Ste 6010
Spokane, WA 99204
Phone (509) 838-5950

1414 N Houk Rd
Ste 102
Spokane Valley, WA 99216
Phone (509) 624-2226

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.

NPI Registry JSON

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

{
    "created_epoch": "1169769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586390400000",
    "number": "1720134323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2303 N PALISADES",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992249535",
            "telephone_number": "509-993-5986"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "W. 101 EIGTH AVENUE",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "99204",
            "telephone_number": "509-474-3131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BATES",
        "first_name": "JACQUELINE",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-26",
        "last_updated": "2020-04-09",
        "certification_date": "2020-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "WA",
            "license": "AP30007633",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spokane, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2020; 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.