MR. SCOTT ALLAN JOLLIFFE (CRNA) – Certified Registered Nurse Anesthetist, NPI 1174722888

MR. SCOTT ALLAN JOLLIFFE (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. 200960029CRNA (OR). The NPI Number for MR. SCOTT ALLAN JOLLIFFE (CRNA) is 1174722888

Main info

Male
Sole Proprietor
19 Years Of Experience
Accepts Medicare Assignment
Name
MR. SCOTT ALLAN JOLLIFFE (CRNA)
NPI
1174722888
Phone
(503) 297-8081
Address
9701 SW BARNES RD STE 310
Enumeration Date
12 July 2007
Last Update Date
25 October 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9287743044
Graduation Year
2007 (19 years ago)
PAC ID
1658463187
Group Practice PAC ID
1355846106
Professional Enrollment ID
I20180223001918
Address ID
AZ860014844FL560XXDRXX500
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience69
Completeness75
Years active:18State licenses:2Digital endpointsOther names

512 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in OR

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Provider Addresses for MR. SCOTT ALLAN JOLLIFFE (CRNA)

  • Southwest Barnes Road, Sylvan-Highlands, Portland, Metro, Multnomah County, Oregon, 97210, United States

    PORTLAND, OR 972256689

    Phone: (503) 297-8081

    Type: Location

  • 1192 N RUSTY NAIL RD

    PRESCOTT VALLEY, AZ 863141478

    Phone: (503) 277-0265

    Type: Mailing

  • 5430 DISTINCTION WAY

    PRESCOTT, AZ 863018437

    Phone: (928) 445-1919

    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: 2018-02-23

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
I20110927000819ICertified Registered Nurse Anesthetist (Crna)ORTBD
I20180223001918ICertified Registered Nurse Anesthetist (Crna)AZTBD

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
00811Anesthesia for other procedure on large bowel using an endoscope145145$0
00731Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope5050$0
00813Anesthesia for procedure on small and large bowel using an endoscope4949$0
00812Anesthesia for exam of colon using an endoscope4242$0
View full utilization report →

Insurance plans in this area (ZIP 97225)

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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: 1355846106View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)AZ
Certified Registered Nurse Anesthetist (Crna)NM
Certified Registered Nurse Anesthetist (Crna)MI
Certified Registered Nurse Anesthetist (Crna)AZ
Certified Registered Nurse Anesthetist (Crna)AZ
Certified Registered Nurse Anesthetist (Crna)AZ
Certified Registered Nurse Anesthetist (Crna)FL
Certified Registered Nurse Anesthetist (Crna)MO
Certified Registered Nurse Anesthetist (Crna)AP
Certified Registered Nurse Anesthetist (Crna)AZ

Reviews

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Frequently asked questions

Does MR. SCOTT ALLAN JOLLIFFE (CRNA) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — MR. SCOTT ALLAN JOLLIFFE (CRNA) uses 1174722888.
Is MR. SCOTT ALLAN JOLLIFFE (CRNA) still practicing?
MR. SCOTT ALLAN JOLLIFFE (CRNA) is currently listed as active in the public NPI registry.
What healthcare role does MR. SCOTT ALLAN JOLLIFFE (CRNA) hold?
Scheduling teams often label MR. SCOTT ALLAN JOLLIFFE (CRNA) under Certified Registered Nurse Anesthetist. Clinical services aligned with this taxonomy classification.
What address line appears for MR. SCOTT ALLAN JOLLIFFE (CRNA)?
MR. SCOTT ALLAN JOLLIFFE (CRNA)'s geographic hint is Portland, Oregon in our summary view.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.