Individual provider Active NPI

Leo J Fitzpatrick, CRNA

  • Certified Registered Nurse Anesthetist
  • Eugene, OR
National Provider Identifier
1942248125
Registry record updated May 6, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
201801101CRNA Issued in OR
Practice address
920 Country Club Rd Ste 220B
Eugene, OR 97401-6090
Phone
(541) 342-5012
NPI assigned
Jun 2, 2006
Last updated
May 6, 2019By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 6, 2019

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 201801101CRNA OR Primary
Certified Registered Nurse Anesthetist 367500000X RN631023 PA
Certified Registered Nurse Anesthetist 367500000X 209-05581 IL

Addresses

Primary practice location

920 Country Club Rd Ste 220B
Eugene, OR 97401-6090

Mailing address

25357 High Pass Rd
Junction City, OR 97448-9387
Phone (570) 932-1814

Other practice location 1

700 High St
Williamsport, PA 17701-3198
Phone (570) 321-2385

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20171207000744 MD Practitioner - Certified Registered Nurse Anesthetist (Crna) 1254359623 Reassigns benefits to 1 organization
I20180402001531 OR Practitioner - Certified Registered Nurse Anesthetist (Crna) 1254359623 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Springfield Or Anesthesia Associates LLCGroup PAC ID 4486917390, 6 clinicians

Practice addresses (Care Compare)

1007 Harlow Rd
Suite 110
Springfield, OR 97477-7125
Phone (541) 726-8882

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
209-05581ILMDCertified Registered Nurse Anesthetist
201801101CRNAORMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
North American Partners in Anesthesia Maryland LLC CurrentSince Oct 1, 2017 Accepting new patients
Pacific Surgery Center LLC CurrentSince Nov 14, 2022 Accepting new patients
Oregon Eye Surgery Center, Inc Nurse Anesthetist, Certified Registered CurrentSince Nov 1, 2021 Accepting new patients
Oregon Eye Surgery Center, Inc. CurrentSince Nov 1, 2021 Accepting new patients
Springfield Or Anesthesia Associates LLC Nurse Anesthetist, Certified Registered CurrentSince Oct 2, 2019 Accepting new patients
Anesthesia Associates Northwest LLC CurrentSince Feb 18, 2018 Accepting new patients
Clinical Partners PA Nurse Anesthetist, Certified Registered Past Accepting new patients
Blue Ridge Anesthesia Associates LLC Nurse Anesthetist, Certified Registered Past Accepting new patients
Loudoun Anesthesia Associates Past Accepting new patients
Anderson County Anesthesia Associates, PA Past Accepting new patients
Meridian Anesthesia Practice, L.L.C Past Accepting new patients

Locations

12500 Willowbrook Rd
Cumberland, MD 21502
Phone (240) 964-1255

5401 Old Court Rd
Randallstown, MD 21133
Phone (301) 337-2727

68 S Service Rd
Ste 350
Melville, NY 11747
Phone (516) 945-3107

1125 Darlene Ln
Eugene, OR 97401
Phone (541) 683-5488

1125 Darlene Ln
Ste 201
Eugene, OR 97401
Phone (541) 342-1845

1550 Oak St
Ste 2
Eugene, OR 97401
Phone (503) 484-4984

1550 Oak St
Ste 8
Eugene, OR 97401
Phone (541) 484-4988

74B Centennial Loop
Ste 200
Eugene, OR 97401
Phone (541) 393-0925

920 Country Club Rd
Ste 220B
Eugene, OR 97401
Phone (541) 242-4162

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

1007 Harlow Rd
Ste 110
Springfield, OR 97477
Phone (541) 726-8882

Organizations & group practices 11

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1149206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557100800000",
    "number": "1942248125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25357 HIGH PASS RD",
            "city": "JUNCTION CITY",
            "state": "OR",
            "postal_code": "974489387",
            "telephone_number": "570-932-1814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "920 COUNTRY CLUB RD STE 220B",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974016090",
            "telephone_number": "541-342-5012"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "700 High St",
            "address_purpose": "LOCATION",
            "city": "Williamsport",
            "state": "PA",
            "postal_code": "177013198",
            "country_code": "US",
            "telephone_number": "570-321-2385",
            "fax_number": "570-321-2479",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FITZPATRICK",
        "first_name": "LEO",
        "middle_name": "J",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-02",
        "last_updated": "2019-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "OR",
            "license": "201801101CRNA",
            "primary": true
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "PA",
            "license": "RN631023",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "IL",
            "license": "209-05581",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eugene, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2019; 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.