Individual provider Active NPI

Kayla L Pennington, RN, BSN, MS, CRNA

  • Certified Registered Nurse Anesthetist
  • Tualatin, OR
National Provider Identifier
1982840138
Registry record updated Dec 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
20116009CRNA Issued in OR
Practice address
20154 SW Tillamook CT
Tualatin, OR 97062-9176
Phone
(503) 803-0560
NPI assigned
Dec 18, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine Registered Nurse 163WC0200X 200541035RN OR
Certified Registered Nurse Anesthetist 367500000X 20116009CRNA OR Primary

Addresses

Primary practice location

20154 SW Tillamook CT
Tualatin, OR 97062-9176

Mailing address

20154 SW Tillamook CT
Tualatin, OR 97062-9176

Other practice location 1

3181 SW Sam Jackson Park Rd
Portland, OR 97239-3011
Phone (503) 494-7641

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110608000562 OR Practitioner - Certified Registered Nurse Anesthetist (Crna) 5395922918 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University Anesthesiology Associates LLCGroup PAC ID 6901702869, 239 clinicians

Practice addresses (Care Compare)

3181 SW Sam Jackson Park Rd
Portland, OR 97239-3011
Phone (503) 494-7641

Hospital & facility affiliations

  • Ohsu Hospital and Clinics Hospital, Portland, OR, CCN 380009

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
98.65
Improvement activities
40

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
Bachelor on Science - Nursing, Certified Registered Nurse, Master of Science, Registered Nurse

State licenses

LicenseStateTypeSpecialty
20116009CRNAORMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Oregon Pain Management LLC CurrentSince Nov 1, 2019 Accepting new patients
University Anesthesiology Associates, LLC CurrentSince Nov 1, 2023 Accepting new patients
Anesthesia Associates Northwest LLC CurrentSince Sep 1, 2014 Accepting new patients
Columbia Anesthesia Group P S CurrentSince Dec 1, 2019 Accepting new patients
Anesthetic Solutions, Inc Nurse Anesthetist, Certified Registered CurrentSince Dec 15, 2019 Accepting new patients

Locations

400 10th St E
Waconia, MN 55387

1333 E Barnett Rd
Medford, OR 97504
Phone (541) 779-4711

1015 NW 22nd Ave
Portland, OR 97210
Phone (503) 413-7582

3181 SW Sam Jackson Park Rd
Portland, OR 97239
Phone (503) 494-5674

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

2480 Liberty St NE
Ste 180
Salem, OR 97301
Phone (503) 371-1010

13240 SW Pacific Hwy
Tigard, OR 97223
Phone (503) 639-6571

7300 SW Childs Rd
Ste A
Tigard, OR 97224
Phone (360) 828-5396

Interoperability endpoints

  • Direct secure messaging: kpennington4342@direct.ohsu.edu

Organizations & group practices 5

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 1

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": "1229558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702339200000",
    "number": "1982840138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20154 SW TILLAMOOK CT",
            "city": "TUALATIN",
            "state": "OR",
            "postal_code": "970629176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20154 SW TILLAMOOK CT",
            "city": "TUALATIN",
            "state": "OR",
            "postal_code": "970629176",
            "telephone_number": "503-803-0560"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3181 SW Sam Jackson Park Rd",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972393011",
            "country_code": "US",
            "telephone_number": "503-494-7641",
            "fax_number": "503-494-4661",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PENNINGTON",
        "first_name": "KAYLA",
        "middle_name": "L",
        "credential": "RN, BSN, MS, CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-12-18",
        "last_updated": "2023-12-12",
        "certification_date": "2023-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Critical Care Medicine",
            "state": "OR",
            "license": "200541035RN",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "OR",
            "license": "20116009CRNA",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tualatin, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2023; 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.