MS. SUSAN I VANGORDER (CRNA) – Certified Registered Nurse Anesthetist, NPI 1487653796

MS. SUSAN I VANGORDER (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. 0001131932 (VA). The NPI Number for MS. SUSAN I VANGORDER (CRNA) is 1487653796

Main info

Female
23 Years Of Experience
Accepts Medicare Assignment
Name
MS. SUSAN I VANGORDER (CRNA)
NPI
1487653796
Phone
(503) 494-8014
Address
3181 SW SAM JACKSON PARK ROAD
Enumeration Date
19 July 2005
Last Update Date
19 September 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5034947641
Graduation Year
2003 (23 years ago)
PAC ID
3173506961
Group Practice PAC ID
6901702869
Professional Enrollment ID
I20070308000640
Address ID
OR972394501PO3303XAVEX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience63
Completeness75
Years active:20State licenses:2Digital endpointsOther names

512 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in OR

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Provider Addresses for MS. SUSAN I VANGORDER (CRNA)

  • Baird Hall, 3181, Southwest Sam Jackson Park Road, Marquam Hill, Homestead, Portland, Metro, Multnomah County, Oregon, 97239, United States

    OHSU

    PORTLAND, OR 972393098

    Phone: (503) 494-8014

    Fax: (503) 494-2251

    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)

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: 2007-03-08

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
I20070308000640ICertified 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.

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
00142Anesthesia for lens surgery2525$0
00103Anesthesia for procedure on eyelid1616$0
00140Anesthesia for other procedure on eye1414$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: 6901702869View full group profile
NameSpecialtyState
A N E S T H E S I O L O G YFL
-OR
-OR
Certified Registered Nurse Anesthetist (Crna)OR
-OR
-OR
-OR
-OR
Certified Registered Nurse Anesthetist (Crna)HI
A N E S T H E S I O L O G YMN

Reviews

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Frequently asked questions

What is the registry number for MS. SUSAN I VANGORDER (CRNA)?
The registry entry for MS. SUSAN I VANGORDER (CRNA) shows NPI 1487653796.
Is MS. SUSAN I VANGORDER (CRNA)'s NPI status active today?
Active status means MS. SUSAN I VANGORDER (CRNA)'s NPI record is not deactivated in the public file.
What services align with MS. SUSAN I VANGORDER (CRNA)'s listing?
MS. SUSAN I VANGORDER (CRNA)'s public classification highlights Certified Registered Nurse Anesthetist. Clinical services aligned with this taxonomy classification.
What geographic area is tied to MS. SUSAN I VANGORDER (CRNA)?
MS. SUSAN I VANGORDER (CRNA) is associated with Portland, Oregon in the same public data insurers reference.
Who maintains MS. SUSAN I VANGORDER (CRNA)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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