Individual provider Active NPI

Rebecca Jarnes

  • Certified Registered Nurse Anesthetist
  • Baker City, OR
National Provider Identifier
1801036199
Registry record updated Sep 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
201060053CRNA Issued in OR
Practice address
3325 Pocahontas Rd
Baker City, OR 97814-1464
Phone
(541) 523-6461
Fax
(541) 523-8151
NPI assigned
Feb 25, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 19, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 141912 TN
Certified Registered Nurse Anesthetist 367500000X 201060053CRNA OR Primary
Certified Registered Nurse Anesthetist 367500000X 064779-23 NH

Addresses

Primary practice location

3325 Pocahontas Rd
Baker City, OR 97814-1464

Mailing address

3340 E Goldstone Dr
Meridian, ID 83642-1026
Phone (208) 367-5170

Other practice location 1

5001 Statesman Dr
Irving, TX 75063-2414
Phone (541) 575-0606

Other practice location 2

557 W Washington St
Burns, OR 97720-1441
Phone (541) 573-7281

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111215000490 OR Practitioner - Certified Registered Nurse Anesthetist (Crna) 0244397016 Reassigns benefits to 6 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
004001CTMDMassage Therapist
064779-23NHMDCertified Registered Nurse Anesthetist
201060053CRNAORMDCertified Registered Nurse Anesthetist
141912TNMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Blue Mountain Hospital District CurrentSince Jan 1, 2016 Accepting new patients
Harney District Hospital CurrentSince Aug 3, 2022 Accepting new patients
Saint Alphonsus Medical Center Baker City, Inc Nurse Anesthetist, Certified Registered CurrentSince Dec 1, 2022 Accepting new patients
Anesthesia Associates Northwest LLC CurrentSince Nov 14, 2011 Accepting new patients
Blue Mountain Hospital District CurrentSince Jan 1, 2016 Accepting new patients
Saint Alphonsus Medical Center Baker City, Inc CurrentSince Dec 1, 2022 Accepting new patients
Harney District Hospital CurrentSince Aug 3, 2022 Accepting new patients

Locations

3340 E Goldstone Dr
Meridian, ID 83642
Phone (208) 302-9342

3325 Pocahontas Rd
Baker City, OR 97814
Phone (541) 523-1797

559 W Washington St
Burns, OR 97720
Phone (541) 573-2074

557 W Washington St
Burns, OR 97720
Phone (541) 573-3682

170 Ford Rd
John Day, OR 97845
Phone (541) 575-1311

120 NW 14th Ave
Ste 200
Portland, OR 97209
Phone (503) 771-1883

Interoperability endpoints

  • Direct secure messaging: rjarnes2339625@direct.trinity-health.org
  • FHIR API: https://fhir-myrecord.cerner.com/r4/4fb2ef4c-fc22-4675-b38f-5641155a5454/

Organizations & group practices 7

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": "1235520000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695081600000",
    "number": "1801036199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3340 E GOLDSTONE DR",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836421026",
            "telephone_number": "208-367-5170",
            "fax_number": "208-367-5180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3325 POCAHONTAS RD",
            "city": "BAKER CITY",
            "state": "OR",
            "postal_code": "978141464",
            "telephone_number": "541-523-6461",
            "fax_number": "541-523-8151"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5001 Statesman Dr",
            "address_purpose": "LOCATION",
            "city": "Irving",
            "state": "TX",
            "postal_code": "750632414",
            "country_code": "US",
            "telephone_number": "541-575-0606",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "557 W Washington St",
            "address_purpose": "LOCATION",
            "city": "Burns",
            "state": "OR",
            "postal_code": "977201441",
            "country_code": "US",
            "telephone_number": "541-573-7281",
            "fax_number": "541-573-8627",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JARNES",
        "first_name": "REBECCA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-02-25",
        "last_updated": "2023-09-19",
        "certification_date": "2023-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TN",
            "license": "141912",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "OR",
            "license": "201060053CRNA",
            "primary": true
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NH",
            "license": "064779-23",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baker City, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.