Individual provider Active NPI

Jennifer Victoria Snelson, CRNA

  • Certified Registered Nurse Anesthetist
  • Olympia, WA
National Provider Identifier
1780753129
Registry record updated Aug 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
AP60799760 Issued in WA
Practice address
406 Black Hills LN SW Ste a
Olympia, WA 98502-8144
Phone
(360) 754-0287
NPI assigned
Nov 8, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2020

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 118970 CO
Registered Nurse 163W00000X RN60799759 WA
Registered Nurse 163W00000X 694263 TX
Certified Registered Nurse Anesthetist 367500000X AP116073 TX
Certified Registered Nurse Anesthetist 367500000X AP60799760 WA Primary

Addresses

Primary practice location

406 Black Hills LN SW Ste a
Olympia, WA 98502-8144

Mailing address

33505 27TH Ave E
Roy, WA 98580-8877
Phone (210) 216-0464

Other practice location 1

Madigan Army Medical Ctr
9040 Reid Street, ATTN: MCHJ-CLQ-C
Tacoma, WA 98431-1100
Phone (253) 968-2252

Other practice location 2

2202 S Cedar St Ste 100
Tacoma, WA 98405-2318
Phone (888) 717-7288

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190523002241 WA Practitioner - Certified Registered Nurse Anesthetist (Crna) 2163765603 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
Washington Gastroenterology PLLCGroup PAC ID 6204194848, 142 clinicians
Evergreen Eye Anesthesia PLLCGroup PAC ID 7315317112, 14 clinicians

Practice addresses (Care Compare)

1703 S Meridian
Suite 305
Puyallup, WA 98371-7590
Phone (253) 841-3933

34719 6TH Ave S
Federal Way, WA 98003-8714
Phone (800) 340-3595

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
118970COMDRegistered Nurse
694263TXMDRegistered Nurse
AP116073TXMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
The Aesthetic Surgery Centre, PLLC CurrentSince Sep 16, 2021 Accepting new patients
Paceline Anesthesia, PLLC Nurse Anesthetist, Certified Registered CurrentSince Feb 1, 2022 Accepting new patients
Evergreen Eye Anesthesia PLLC Nurse Anesthetist, Certified Registered CurrentSince Jan 1, 2023 Accepting new patients
Washington Gastroenterology PLLC CurrentSince Mar 1, 2022 Accepting new patients
Washington Gastroenterology PLLC CurrentSince Mar 1, 2022 Accepting new patients
Olympia Multi Specialty Clinic CurrentSince Jun 1, 2019 Accepting new patients
Washington Gastroenterology PLLC Nurse Anesthetist, Certified Registered Current Accepting new patients
Cedar Medical Specialties, PLLC Past Accepting new patients

Locations

1135 116th Ave NE
Ste 570
Bellevue, WA 98004
Phone (425) 451-7335

1900 Cooks Hill Rd
Centralia, WA 98531
Phone (360) 330-8627

12800 Bothell Everett Hwy
Ste 200
Everett, WA 98208
Phone (206) 259-3122

34719 6th Ave S
Federal Way, WA 98003
Phone (206) 212-2100

5801 Soundview Dr
Ste 156
Gig Harbor, WA 98335
Phone (253) 268-0720

1301 4th Ave NW
Ste 301
Issaquah, WA 98027
Phone (425) 270-6363

17700 SE 272nd St
Ste 420
Kent, WA 98042
Phone (253) 639-9660

2100 Little Mountain Ln
Mount Vernon, WA 98274
Phone (360) 416-6735

406 Black Hills Ln SW
Ste A
Olympia, WA 98502
Phone (360) 754-1727

3920 Capital Mall Dr SW
Ste 100D
Olympia, WA 98502
Phone (360) 570-3025

1703 S Meridian
Ste 203
Puyallup, WA 98371
Phone (253) 841-3933

1703 S Meridian
Ste 305
Puyallup, WA 98371
Phone (253) 841-3933

1229 Madison St
Ste 1250
Seattle, WA 98104
Phone (206) 212-2100

1101 Madison St
Ste 400
Seattle, WA 98104
Phone (206) 505-1230

2202 S Cedar St
Ste 150
Tacoma, WA 98405
Phone (253) 627-2900

3209 S 23rd St
Ste 200
Tacoma, WA 98405
Phone (253) 503-2508

2202 S Cedar St
Ste 100
Tacoma, WA 98405
Phone (253) 627-2900

502 S M St
Tacoma, WA 98405
Phone (253) 301-4953

Organizations & group practices 8

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": "1162944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597708800000",
    "number": "1780753129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33505 27TH AVE E",
            "city": "ROY",
            "state": "WA",
            "postal_code": "985808877",
            "telephone_number": "210-216-0464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "406 BLACK HILLS LN SW STE A",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985028144",
            "telephone_number": "360-754-0287"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Madigan Army Medical Ctr",
            "address_2": "9040 Reid Street, ATTN: MCHJ-CLQ-C",
            "address_purpose": "LOCATION",
            "city": "Tacoma",
            "state": "WA",
            "postal_code": "984311100",
            "country_code": "US",
            "telephone_number": "253-968-2252",
            "fax_number": "253-968-3278",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2202 S Cedar St Ste 100",
            "address_purpose": "LOCATION",
            "city": "Tacoma",
            "state": "WA",
            "postal_code": "984052318",
            "country_code": "US",
            "telephone_number": "888-717-7288",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SNELSON",
        "first_name": "JENNIFER",
        "middle_name": "VICTORIA",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-08",
        "last_updated": "2020-08-18",
        "certification_date": "2020-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CO",
            "license": "118970",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WA",
            "license": "RN60799759",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TX",
            "license": "694263",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TX",
            "license": "AP116073",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "WA",
            "license": "AP60799760",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Olympia, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 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.