Active NPI
Sara F. Siwanowicz, CRNA
- Certified Registered Nurse Anesthetist
- Vancouver, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- AP30007036
- Practice address
- 400 NE Mother Joseph PL
Vancouver, WA 98664-3200 - Phone
- (360) 828-5396
- Fax
- (360) 828-5455
- NPI assigned
- Apr 19, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN00158602 | WA | |
| Certified Registered Nurse Anesthetist | 367500000X | AP30007036 | WA | Primary |
Addresses
Primary practice location
400 NE Mother Joseph PL
Vancouver, WA 98664-3200
Mailing address
PO Box 5157
Vancouver, WA 98668-5157
Phone (360) 687-5221
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0204066 | Other | WA | LABOR & INDUSTRY |
| 8940597 | Other | WA | L&I CRIME VICTIMS |
| 9646258 | Medicaid | WA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA, OR
Enrollment records 2
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)
1015 NW 22ND Ave
Portland, OR 97210-3025
Phone (360) 828-5396
335 SE 8TH Ave
Hillsboro, OR 97123-4246
Phone (503) 681-1270
400 NE Mother Joseph Place
Vancouver, WA 98664-3200
Phone (360) 256-2000
4805 NE Glisan St
Portland, OR 97213-2933
Phone (503) 215-1111
707 SW Washington St
Suite 700
Portland, OR 97205-3523
Phone (503) 299-9906
9205 SW Barnes Rd
Portland, OR 97225-6603
Phone (503) 216-1234
Hospital & facility affiliations
- Legacy Good Samaritan Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 73.51 of 100
- Quality
- 68.84
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tuality Anesthesia Services, LLC | Current | Accepting new patients | |
| Hospitalist Medicine Physicians of Washington - TCS | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Columbia Anesthesia Group P S | Current | Accepting new patients | |
| Oregon Anesthesiology Group PC | Current | Accepting new patients | |
| Anesthesia Associates Northwest LLC | Current | Accepting new patients | |
| Anesthetic Solutions, Inc | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
Locations
400 10th St E
Waconia, MN 55387
335 SE 8th Ave
Hillsboro, OR 97123
Phone (503) 681-1111
1333 E Barnett Rd
Medford, OR 97504
Phone (541) 779-4711
1015 NW 22nd Ave
Portland, OR 97210
Phone (503) 413-7582
707 SW Washington St
Ste 700
Portland, OR 97205
9205 SW Barnes Rd
Portland, OR 97225
Phone (503) 216-1234
12050 SE Stevens Rd
Ste 400
Portland, OR 97086
Phone (971) 206-6100
120 NW 14th Ave
Ste 200
Portland, OR 97209
Phone (503) 771-1883
7300 SW Childs Rd
Ste A
Tigard, OR 97224
Phone (360) 828-5396
13240 SW Pacific Hwy
Tigard, OR 97223
Phone (503) 639-6571
400 NE Mother Joseph Pl
Vancouver, WA 98664
Phone (360) 514-2000
2211 NE 139th St
Vancouver, WA 98686
Phone (360) 397-1985
Interoperability endpoints
- ssiwanowicz110380@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 1649816380
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Portland, OR
- NPI 1477527786
-
- Anesthesiology Physician
- Hillsboro, OR
- NPI 1508174012
-
- Anesthesiology Physician
- Milwaukie, OR
- NPI 1548281751
-
- Certified Registered Nurse Anesthetist
- Medford, OR
- NPI 1477022259
Nurse Anesthetist, Certified Registered
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Clinic/Center
- Portland, OR
- NPI 1679597108
Hospital
-
- General Acute Care Hospital
- Portland, OR
- NPI 1780608216
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145404800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1488931200000",
"number": "1760447908",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 5157",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "986685157",
"telephone_number": "360-687-5221"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 NE MOTHER JOSEPH PL",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "986643200",
"telephone_number": "360-828-5396",
"fax_number": "360-828-5455"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIWANOWICZ",
"first_name": "SARA",
"middle_name": "F.",
"credential": "CRNA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-04-19",
"last_updated": "2017-03-08",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "WA",
"license": "RN00158602",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "WA",
"license": "AP30007036",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LABOR & INDUSTRY",
"identifier": "0204066",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "L&I CRIME VICTIMS",
"identifier": "8940597",
"state": "WA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "9646258",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Vancouver, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2017; 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.