REBECCA LYNNE GRANITI (CRNA) – Certified Registered Nurse Anesthetist, NPI 1902873417

REBECCA LYNNE GRANITI (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. 4704143413 (MI). The NPI Number for REBECCA LYNNE GRANITI (CRNA) is 1902873417

Main info

Female
21 Years Of Experience
Accepts Medicare Assignment
Name
REBECCA LYNNE GRANITI (CRNA)
NPI
1902873417
Phone
(503) 494-7641
Address
3181 SW SAM JACKSON PARK RD
Enumeration Date
2 March 2006
Last Update Date
25 October 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5034947641
Graduation Year
2005 (21 years ago)
PAC ID
5496774739
Group Practice PAC ID
6901702869
Professional Enrollment ID
I20150126002162
Address ID
OR972393011PO3181XRDXX600
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience73
Completeness75
Years active:20State licenses:2Digital endpointsOther names

512 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in OR

Provider Addresses for REBECCA LYNNE GRANITI (CRNA)

  • 3181 SW SAM JACKSON PARK RD

    PORTLAND, OR 972393011

    Phone: (503) 494-7641

    Fax: (503) 494-8368

    Type: Mailing

  • Willamette Valley Medical Center, 2700, Southeast Stratus Avenue, McMinnville, Yamhill County, Oregon, 97128, United States

    MCMINNVILLE, OR 97128

    Phone: (503) 472-6131

    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: 2015-01-26

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
I20150126002162ICertified 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 surgery2727$0
00731Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope1212$0
View full utilization report →

Insurance plans in this area (ZIP 97239)

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Provider's Procedures

REBECCA LYNNE GRANITI (CRNA) performs procedures in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
CERTIFIED REGISTERED NURSE ANESTHETOR00142Anesthesia for lens surgery4543

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

Can I cross-check REBECCA LYNNE GRANITI (CRNA) using NPI 1902873417?
NPI 1902873417 belongs to REBECCA LYNNE GRANITI (CRNA); compare other details if you need extra assurance.
Is REBECCA LYNNE GRANITI (CRNA) shown as active in public data?
Registry records indicate REBECCA LYNNE GRANITI (CRNA) maintains an active NPI.
What expertise is attributed to REBECCA LYNNE GRANITI (CRNA)?
REBECCA LYNNE GRANITI (CRNA)'s specialty line reads Certified Registered Nurse Anesthetist. Clinical services aligned with this taxonomy classification.
What locale is associated with REBECCA LYNNE GRANITI (CRNA)?
Directory geography for REBECCA LYNNE GRANITI (CRNA) centers on Portland, Oregon.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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