ALIVIA MIYON YOON – Certified Registered Nurse Anesthetist, NPI 1154092591

Certified Registered Nurse Anesthetist

ALIVIA MIYON YOON is a healthcare provider. based in Happy valley, Oregon. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold a License No. 10028942 (OR). The NPI Number for ALIVIA MIYON YOON is 1154092591

Main info

Female

2 Years Of Experience

Accepts Medicare Assignment

Name

ALIVIA MIYON YOON

NPI

1154092591

Phone

(503) 896-8712

Address

12314 SE Cedar Ct

Enumeration Date

24 September 2021

Last Update Date

10 June 2025

Doctor Profile

Medical School Name

OREGON HEALTH SCIENCES UNIVERSITY SCHOOL OF MEDICINE

Secondary Phone

5034947641

Graduation Year

2024 (2 years ago)

PAC ID

6507306412

Group Practice PAC ID

6901702869

Professional Enrollment ID

I20240906000407

Address ID

OR972393011PO3181XRDXX600

Data current as of

19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology

Experience37

Completeness85

Years active:4State licenses:1Digital endpointsOther names

512 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in OR

Provider Addresses for ALIVIA MIYON YOON

12314 SE Cedar Ct
Happy Valley, OR 970867114
Phone: (503) 896-8712
Type: Location
12314 SE CEDAR CT
HAPPY VALLEY, OR 970867114
Phone: (503) 896-8712
Type: Mailing
3181 SW SAM JACKSON PARK RD
MAIL CODE SJH-2
PORTLAND, OR 97239
Phone: (503) 494-7641
Type: Mailing

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: 2024-09-06

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

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

Medicare enrolled
On CMS revalidation list
Due date assigned
Revalidate in PECOS

CMS enrollment records

Enrollment ID	Type	Specialty	State	Due date
I20240906000407	I	Certified Registered Nurse Anesthetist (Crna)	OR	TBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 97086)

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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: 6901702869View full group profile

Name	Specialty	State
MEREDITH MILLER DEGNAN (M.D.)	A N E S T H E S I O L O G Y	FL
DR. REBECCA A HALL (MD)	-	OR
DAVID TERRAULT (CRNA)	-	OR
JOHNATHAN CULP (CRNA)	Certified Registered Nurse Anesthetist (Crna)	OR
DR. JORGE ALBERTO JR. PINEDA (M.D.)	-	OR
DR. ROBERT EDWARD SHANGRAW (M.D.)	-	OR
ALEXANDRA DUBIKOVSKY GOLDEN (MD)	-	OR
DR. YING-HAO AU (DO)	-	OR
PATRICK MARTIN KRUM (CRNA)	Certified Registered Nurse Anesthetist (Crna)	HI
VICTOR DIEGO CHAUVET ALMAZAN (MD)	A N E S T H E S I O L O G Y	MN

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Frequently asked questions

What number should I use to identify ALIVIA MIYON YOON for billing?

Administrative and clinical systems typically use NPI 1154092591 for ALIVIA MIYON YOON.

Should I treat ALIVIA MIYON YOON as an active provider?

Patients and plans typically see ALIVIA MIYON YOON as active in the national extract.

Which specialty label fits ALIVIA MIYON YOON?

NPPES ties ALIVIA MIYON YOON to Certified Registered Nurse Anesthetist in the taxonomy section. Clinical services aligned with this taxonomy classification.

Which community is linked to ALIVIA MIYON YOON?

ALIVIA MIYON YOON shows a connection to Happy Valley, Oregon in registry-derived data.

Can I export ALIVIA MIYON YOON's record?

You can download the official NPPES record; we summarize key fields for readability.