David Jean Duranceau, CRNA
Individual provider Active NPI Certified Registered Nurse Anesthetist · Hermiston, OR
NPI 1992562797 · NPPES record last updated Feb 28, 2024
Key facts
- NPI
- 1992562797
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Certified Registered Nurse Anesthetist 367500000X
- License
- 10015236 (OR)
- Practice address
- 610 NW 11TH St
Hermiston, OR 97838-6601 - Phone
- (541) 667-3400
- NPI assigned
- Feb 28, 2024
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 9
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Tri-State Memorial Hospital
Good Shepherd Health Care System
Practice addresses (Care Compare)
1221 Highland Ave
Clarkston, WA 99403-2829
Phone (509) 758-5511
610 NW 11TH St
Hermiston, OR 97838-6601
Phone (541) 667-3400
Hospital & facility affiliations
- Good Shepherd Medical Center
- Kadlec Regional Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in OR, WA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240613003002 | OR | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 5496104861 | Reassigns benefits to 2 organizations |
| I20240712000733 | WA | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 5496104861 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10015236 | OR | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tri-State Memorial Hospital | Current |
Accepting new patients | |
| Tri-State Memorial Hospital | Current |
Accepting new patients | |
| Good Shepherd Health Care System | Current |
Accepting new patients | |
| Tri-State Memorial Hospital | Current |
Accepting new patients |
Locations
610 NW 11th St
Hermiston, OR 97838
Phone (541) 667-3400
1221 Highland Ave
Ste 5
Clarkston, WA 99403
1221 Highland Ave
Clarkston, WA 99403
Phone (509) 751-0312
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 10015236 | OR | Yes |
Addresses
Primary practice location
610 NW 11TH St
Hermiston, OR 97838-6601
Mailing address
610 NW 11TH St
Hermiston, OR 97838-6601
Phone (541) 667-3400
Other providers in Hermiston, OR
- Brandy Dougherty
- Dr. Bianka Munoz, DC LLC
- David A Drotzmann
- Kyle J Duncan
- Brittany J Dunham
- Jessica Dyer
- Sarah Dynes
- Eagle Summit Orthopedic & Sports Medicine, LLC
- Derek Ted Earl
- Eastern Oregon Physical Therapy Hermiston LLC
All providers in Hermiston, OR · Certified Registered Nurse Anesthetist in Oregon
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 28, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.