Active NPI
Nicholas M Hedden, CRNA
- Certified Registered Nurse Anesthetist
- Silverton, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 201360015CRNA
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 500671198 | Medicaid | OR |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 201360015CRNA | OR | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Good Shepherd Health Care System | Current | Accepting new patients | |
| Eugene Eye Care Associates, PC | Current | Accepting new patients | |
| Silverton Health | Current | Accepting new patients | |
| Silverton Health | Current | Accepting new patients | |
| Silverton Health | Current | 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.
-
- Ophthalmology Physician
- Eugene, OR
- NPI 1457553976
-
- Critical Access Hospital
- Hermiston, OR
- NPI 1295789667
-
- General Acute Care Hospital
- Silverton, OR
- NPI 1669424354
-
- Urgent Care Clinic/Center
- Woodburn, OR
- NPI 1679631683
-
- Clinic/Center
- Molalla, OR
- NPI 1861116055
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.