Active NPI
Janelle Kate Fry, CRNA
- Certified Registered Nurse Anesthetist
- Portland, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 201407791CRNA
- Practice address
- 3181 SW Sam Jackson Park Rd
Portland, OR 97239-3011 - Phone
- (503) 494-7641
- Fax
- (503) 494-4661
- NPI assigned
- Nov 19, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | CRNA-01251 | NM | |
| Certified Registered Nurse Anesthetist | 367500000X | AP61028430 | WA | |
| Certified Registered Nurse Anesthetist | 367500000X | RN615293 | PA | |
| Certified Registered Nurse Anesthetist | 367500000X | 201407791CRNA | OR | Primary |
Addresses
Primary practice location
3181 SW Sam Jackson Park Rd
Portland, OR 97239-3011
Mailing address
3181 SW Sam Jackson Park Rd
Mail Code SJH-2
Portland, OR 97239
Phone (503) 494-7246
Other practice location 1
1015 NW 22nd Ave
Portland, OR 97210-3025
Phone (505) 983-3275
Other names 1
- Janelle Kate Henkle
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR, WA
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2012
- 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 (503) 299-9906
2211 NE 139TH St
Vancouver, WA 98686-2742
Phone (360) 487-1000
3181 SW Sam Jackson Park Rd
Portland, OR 97239-3011
Phone (503) 494-7641
4805 NE Glisan St
Portland, OR 97213-2933
Phone (503) 215-1111
9205 SW Barnes Rd
Portland, OR 97225-6603
Phone (503) 216-1234
Hospital & facility affiliations
- Ohsu Hospital and Clinics
- Providence Portland Medical Center
- Legacy Good Samaritan Medical Center
- Legacy Salmon Creek Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Quality
- 98.65
- Improvement activities
- 40
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CRNA-01251 | NM | MD | Registered Nurse |
| 201407791CRNA | OR | MD | Certified Registered Nurse Anesthetist |
| RN615293 | PA | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hospitalist Medicine Physicians of Washington - TCS | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| University Anesthesiology Associates, LLC | Current | Accepting new patients | |
| Columbia Anesthesia Group P S | Current | Accepting new patients | |
| Oregon Anesthesiology Group PC | Current | Accepting new patients |
Locations
1015 NW 22nd Ave
Portland, OR 97210
Phone (503) 413-7582
707 SW Washington St
Ste 700
Portland, OR 97205
3181 SW Sam Jackson Park Rd
Portland, OR 97239
Phone (503) 494-5674
3181 SW Sam Jackson Park Rd
#2
Portland, OR 97239
Phone (503) 494-4910
9205 SW Barnes Rd
Portland, OR 97225
Phone (503) 216-1234
7300 SW Childs Rd
Ste A
Tigard, OR 97224
Phone (360) 828-5396
400 NE Mother Joseph Pl
Vancouver, WA 98664
Phone (360) 514-2000
505 NE 87th Ave
Ste 210
Vancouver, WA 98664
Phone (360) 828-5396
2211 NE 139th St
Vancouver, WA 98686
Phone (360) 397-1985
Organizations & group practices 4
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 1841217817
Hospital & facility affiliations 7
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
-
- General Acute Care Hospital
- Portland, OR
- NPI 1609824010
-
- General Acute Care Hospital
- Portland, OR
- NPI 1003991845
-
- Case Manager/Care Coordinator
- Portland, OR
- NPI 1891822995
Hospital
-
- General Acute Care Hospital
- Vancouver, WA
- NPI 1700809829
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1353283200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1705968000000",
"number": "1760726467",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3181 SW SAM JACKSON PARK RD",
"address_2": "MAIL CODE SJH-2",
"city": "PORTLAND",
"state": "OR",
"postal_code": "97239",
"telephone_number": "503-494-7246",
"fax_number": "503-494-8368"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3181 SW SAM JACKSON PARK RD",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972393011",
"telephone_number": "503-494-7641",
"fax_number": "503-494-4661"
}
],
"practiceLocations": [
{
"address_1": "1015 NW 22nd Ave",
"address_purpose": "LOCATION",
"city": "Portland",
"state": "OR",
"postal_code": "972103025",
"country_code": "US",
"telephone_number": "505-983-3275",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FRY",
"first_name": "JANELLE",
"middle_name": "KATE",
"name_prefix": "Ms.",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-11-19",
"last_updated": "2024-01-23",
"certification_date": "2024-01-23",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NM",
"license": "CRNA-01251",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "WA",
"license": "AP61028430",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "PA",
"license": "RN615293",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "OR",
"license": "201407791CRNA",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JANELLE",
"last_name": "HENKLE",
"middle_name": "KATE",
"credential": "CRNA",
"code": "1",
"type": "Former Name"
}
]
}
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 Jan 23, 2024; 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.