Individual provider Active NPI

Nicholas M Hedden, CRNA

  • Certified Registered Nurse Anesthetist
  • Silverton, OR
National Provider Identifier
1992007298
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
201360015CRNA Issued in OR
Practice address
342 Fairview St
Silverton, OR 97381-1917
Phone
(503) 873-1500
NPI assigned
Nov 19, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 201360015CRNA OR Primary

Addresses

Primary practice location

342 Fairview St
Silverton, OR 97381-1917

Mailing address

PO Box 278
Woodburn, OR 97071
Phone (971) 983-5260

Other practice location 1

3505 SW Marquam Hill Rd
Portland, OR 97239-1453
Phone (503) 333-3248

Other identifiers 1

IdentifierTypeStateIssuer
500671198MedicaidOR

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130621000328 OR Practitioner - Certified Registered Nurse Anesthetist (Crna) 5799924809 Reassigns benefits to 3 organizations

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
Eugene Eye Care Associates PCGroup PAC ID 5193797348, 8 clinicians

Practice addresses (Care Compare)

992 Country Club Rd
Suite 101
Eugene, OR 97401-6023
Phone (541) 687-1715

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
201360015CRNAORMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Good Shepherd Health Care System CurrentSince Apr 20, 2013 Accepting new patients
Eugene Eye Care Associates, PC CurrentSince Feb 1, 2023 Accepting new patients
Silverton Health CurrentSince Jan 1, 2014 Accepting new patients
Silverton Health Current Accepting new patients
Silverton Health CurrentSince Jan 1, 2014 Accepting new patients

Locations

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

992 Country Club Rd
Ste 101
Eugene, OR 97401
Phone (541) 687-1715

610 NW 11th St
Hermiston, OR 97838
Phone (541) 667-3400

347 Fairview St
Silverton, OR 97381
Phone (503) 873-5667

342 Fairview St
Silverton, OR 97381
Phone (503) 525-7660

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.

NPI Registry JSON

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

{
    "created_epoch": "1290124800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1992007298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 278",
            "city": "WOODBURN",
            "state": "OR",
            "postal_code": "97071",
            "telephone_number": "971-983-5260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "342 FAIRVIEW ST",
            "city": "SILVERTON",
            "state": "OR",
            "postal_code": "973811917",
            "telephone_number": "503-873-1500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3505 SW Marquam Hill Rd",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972391453",
            "country_code": "US",
            "telephone_number": "503-333-3248",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HEDDEN",
        "first_name": "NICHOLAS",
        "middle_name": "M",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-11-19",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "OR",
            "license": "201360015CRNA",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500671198",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Silverton, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.