Individual provider Active NPI

Sara F. Siwanowicz, CRNA

  • Certified Registered Nurse Anesthetist
  • Vancouver, WA
National Provider Identifier
1760447908
Registry record updated Mar 8, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
AP30007036 Issued in WA
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

Updated by the provider on Mar 8, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
0204066OtherWALABOR & INDUSTRY
8940597OtherWAL&I CRIME VICTIMS
9646258MedicaidWA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, OR2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20060403000707 WA Practitioner - Certified Registered Nurse Anesthetist (Crna) 5294743100 Reassigns benefits to 1 organization
I20080515000666 OR Practitioner - Certified Registered Nurse Anesthetist (Crna) 5294743100 Reassigns benefits to 6 organizations

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
Columbia Anesthesia Group P SGroup PAC ID 8426954322, 71 clinicians
Tuality Anesthesia Services LLCGroup PAC ID 3274712864, 30 clinicians
Hospitalist Medicine Physicians of Washington - TCSGroup PAC ID 6800240102, 197 clinicians
Oregon Anesthesiology Group PCGroup PAC ID 3476451659, 239 clinicians

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 Hospital, Portland, OR, CCN 380017

Merit-based Incentive Payment System (MIPS)

Final score
73.51 of 100Reported as group
Quality
68.84
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Tuality Anesthesia Services, LLC CurrentSince Jun 17, 2022 Accepting new patients
Hospitalist Medicine Physicians of Washington - TCS Nurse Anesthetist, Certified Registered CurrentSince Feb 1, 2025 Accepting new patients
Columbia Anesthesia Group P S CurrentSince Mar 8, 2017 Accepting new patients
Oregon Anesthesiology Group PC CurrentSince Mar 28, 2019 Accepting new patients
Anesthesia Associates Northwest LLC CurrentSince Apr 9, 2008 Accepting new patients
Anesthetic Solutions, Inc Nurse Anesthetist, Certified Registered CurrentSince Jan 1, 2019 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 2

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": "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.

Verify at the official NPI Registry.