ANDREA GIUDICE (CRNA) – Certified Registered Nurse Anesthetist, NPI 1093078685

ANDREA GIUDICE (CRNA) is a healthcare provider. based in Portland, Oregon. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials CRNA. They hold a License No. 201504217CRNA (OR). The NPI Number for ANDREA GIUDICE (CRNA) is 1093078685

Main info

Female
14 Years Of Experience
Accepts Medicare Assignment
Name
ANDREA GIUDICE (CRNA)
NPI
1093078685
Phone
(503) 494-7641
Address
3181 SW Sam Jackson Park Rd
Enumeration Date
19 June 2012
Last Update Date
20 June 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9529937800
Graduation Year
2012 (14 years ago)
PAC ID
6204084908
Group Practice PAC ID
2466986922
Professional Enrollment ID
I20190627000870
Address ID
MN553795582SH1700XAVEX401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience49
Completeness75
Years active:13State licenses:2Digital endpointsOther names

512 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in OR

Provider Addresses for ANDREA GIUDICE (CRNA)

  • 3181 SW Sam Jackson Park Rd

    3181 SW Sam Jackson Park Rd.

    Portland, OR 972393011

    Phone: (503) 494-7641

    Type: Location

  • 3181 SW SAM JACKSON PARK RD

    MAIL CODE SJH-2

    PORTLAND, OR 972393011

    Phone: (503) 494-4910

    Fax: (503) 494-8368

    Type: Mailing

  • 640 JACKSON ST

    SAINT PAUL, MN 551012502

    Phone: (651) 254-3456

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2019-06-27

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20190627000870ICertified Registered Nurse Anesthetist (Crna)MNTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
00142Anesthesia for lens surgery5352$0
View full utilization report →

Insurance plans in this area (ZIP 97239)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2466986922View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)MN
Certified Registered Nurse Anesthetist (Crna)WI
Certified Registered Nurse Anesthetist (Crna)MN
Certified Registered Nurse Anesthetist (Crna)MN
Certified Registered Nurse Anesthetist (Crna)MN
Certified Registered Nurse Anesthetist (Crna)MN
Certified Registered Nurse Anesthetist (Crna)MN
Certified Registered Nurse Anesthetist (Crna)MN
Certified Registered Nurse Anesthetist (Crna)MN
Certified Registered Nurse Anesthetist (Crna)MN

Reviews

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Frequently asked questions

What is the 10-digit NPI for ANDREA GIUDICE (CRNA)?
ANDREA GIUDICE (CRNA) — NPI 1093078685 — is the standard way to identify this listing.
Does the file indicate ANDREA GIUDICE (CRNA) is practicing under active NPI?
Directory data currently reports ANDREA GIUDICE (CRNA) as active.
What is ANDREA GIUDICE (CRNA)'s primary classification?
Certified Registered Nurse Anesthetist is the headline specialty for ANDREA GIUDICE (CRNA) here. Clinical services aligned with this taxonomy classification.
Where is ANDREA GIUDICE (CRNA) based?
ANDREA GIUDICE (CRNA) is tied to Portland, Oregon in the data we show; additional addresses may exist on the full record.
How many locations tie to this NPI?
3 practice locations appear in the available data.

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