MS. JENNIFER LYNN DIRKES (CRNA) – Certified Registered Nurse Anesthetist, NPI 1174907786

MS. JENNIFER LYNN DIRKES (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. 828396 (TX). The NPI Number for MS. JENNIFER LYNN DIRKES (CRNA) is 1174907786

Main info

Female
11 Years Of Experience
Accepts Medicare Assignment
Name
MS. JENNIFER LYNN DIRKES (CRNA)
NPI
1174907786
Phone
(503) 494-7641
Address
3181 SW SAM JACKSON PARK RD
Enumeration Date
13 July 2015
Last Update Date
18 March 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2537709000
Graduation Year
2015 (11 years ago)
PAC ID
6507100047
Group Practice PAC ID
4284523499
Professional Enrollment ID
I20200107001528
Address ID
WA983741145PU104XXSEXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:10State licenses:3Digital endpointsOther names

512 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in OR

Provider Addresses for MS. JENNIFER LYNN DIRKES (CRNA)

  • 3181 SW SAM JACKSON PARK RD

    PORTLAND, OR 972393011

    Phone: (503) 494-7641

    Fax: (503) 494-8368

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $31.

Total Amount is formed as General ($31) + Research ($0) + Ownership ($0) = $31.

Last reported payment date: 2024-04-03 • Largest payer in this snapshot: Merck Sharp & Dohme LLC ($31).

Total Amount

$31

General + Research + Ownership

Payments

2

Total payment records

General Amount

$31

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-04-03

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Merck Sharp & Dohme LLC$31
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: 2020-01-07

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
I20200107001528ICertified Registered Nurse Anesthetist (Crna)WATBD

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 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: 4284523499View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)WA
-TX
Certified Registered Nurse Anesthetist (Crna)WA
Certified Registered Nurse Anesthetist (Crna)IL
Certified Registered Nurse Anesthetist (Crna)OR
A N E S T H E S I O L O G YWA
Certified Registered Nurse Anesthetist (Crna)NE
A N E S T H E S I O L O G YGA
-WA
A N E S T H E S I O L O G YWA

Reviews

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Frequently asked questions

What federal number belongs to MS. JENNIFER LYNN DIRKES (CRNA)?
The federal identifier for MS. JENNIFER LYNN DIRKES (CRNA) is NPI 1174907786.
Is MS. JENNIFER LYNN DIRKES (CRNA) active in the national directory?
MS. JENNIFER LYNN DIRKES (CRNA)'s public NPI profile is in an active state.
What kind of provider is MS. JENNIFER LYNN DIRKES (CRNA)?
The page reflects Certified Registered Nurse Anesthetist for MS. JENNIFER LYNN DIRKES (CRNA). Clinical services aligned with this taxonomy classification.
Where is MS. JENNIFER LYNN DIRKES (CRNA)'s primary listing?
We display Portland, Oregon because that is what the record indicates for MS. JENNIFER LYNN DIRKES (CRNA).
How can I contact MS. JENNIFER LYNN DIRKES (CRNA)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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