DR. SUZANNE MICHELE JAGGER (CRNA) – Certified Registered Nurse Anesthetist, NPI 1174652473

DR. SUZANNE MICHELE JAGGER (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. 626041 (CA). The NPI Number for DR. SUZANNE MICHELE JAGGER (CRNA) is 1174652473

Main info

Female
20 Years Of Experience
Accepts Medicare Assignment
Name
DR. SUZANNE MICHELE JAGGER (CRNA)
NPI
1174652473
Phone
(408) 364-6103
Address
1925 NW 126TH PL
Enumeration Date
4 March 2007
Last Update Date
9 January 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5032297137
Graduation Year
2006 (20 years ago)
PAC ID
4587760830
Group Practice PAC ID
7214187210
Professional Enrollment ID
I20130926000765
Address ID
OR972102977PO1130XAVEX403
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience71
Completeness75
Years active:19State licenses:2Digital endpointsOther names

512 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in OR

Provider Addresses for DR. SUZANNE MICHELE JAGGER (CRNA)

  • 1925 NW 126TH PL

    PORTLAND, OR 972294627

    Phone: (408) 364-6103

    Type: Mailing

  • 12525 NW CORNELL RD STE 204

    PORTLAND, OR 972295615

    Phone: (971) 232-9232

    Type: Location

  • 3961 LA MESA LN

    SAN JOSE, CA 951243712

    Phone: (408) 979-0321

    Type: Mailing

  • 700 LAWRENCE EXPY

    SANTA CLARA, CA 950515173

    Phone: (408) 236-5388

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 11 Open Payments records for all available years, with a total value of $436.

Total Amount is formed as General ($436) + Research ($0) + Ownership ($0) = $436.

Last reported payment date: 2024-11-26 • Largest payer in this snapshot: Merz North America, Inc. ($225).

Total Amount

$436

General + Research + Ownership

Payments

11

Total payment records

General Amount

$436

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-26

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2013-09-26

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20070502000324ICertified Registered Nurse Anesthetist (Crna)CATBD
I20130926000765ICertified Registered Nurse Anesthetist (Crna)ORTBD

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 97229)

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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: 7214187210View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)TX
Certified Registered Nurse Anesthetist (Crna)OR
Certified Registered Nurse Anesthetist (Crna)WA
Certified Registered Nurse Anesthetist (Crna)CA
Certified Registered Nurse Anesthetist (Crna)TX
-OR
-OR
Certified Registered Nurse Anesthetist (Crna)OR
Certified Registered Nurse Anesthetist (Crna)FL
Certified Registered Nurse Anesthetist (Crna)OR

Reviews

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Frequently asked questions

What is DR. SUZANNE MICHELE JAGGER (CRNA)'s NPI number?
DR. SUZANNE MICHELE JAGGER (CRNA)'s NPI is 1174652473 — the number used across U.S. healthcare to identify this provider.
Would DR. SUZANNE MICHELE JAGGER (CRNA) appear as active to a payer?
You can treat DR. SUZANNE MICHELE JAGGER (CRNA) as active for directory purposes; confirm clinical privileges separately.
What kind of doctor is DR. SUZANNE MICHELE JAGGER (CRNA)?
DR. SUZANNE MICHELE JAGGER (CRNA) is associated with Certified Registered Nurse Anesthetist in the directory — Clinical services aligned with this taxonomy classification.
Where in Oregon is DR. SUZANNE MICHELE JAGGER (CRNA) registered?
Use Portland, Oregon as the headline location for DR. SUZANNE MICHELE JAGGER (CRNA) here.
Does DR. SUZANNE MICHELE JAGGER (CRNA) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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