ANESTHETIC SOLUTIONS, INC – Certified Registered Nurse Anesthetist, NPI 1477022259
Certified Registered Nurse Anesthetist
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for ANESTHETIC SOLUTIONS, INC
12050 SE Stevens Rd Ste 400
Happy Valley, OR 970867667
Phone: (971) 206-6100
Fax: (952) 442-3620
Type: Location
Medical Eye Center, 1333, East Barnett Road, Medford, Jackson County, Oregon, 97504, United States
MEDFORD, OR 975048219
Phone: (541) 858-4000
Fax: (952) 442-3620
Type: Location
13240 SW Pacific Hwy
Tigard, OR 972234805
Phone: (503) 639-6571
Fax: (952) 442-3620
Type: Location
831 NW Council Dr Ste 300
Gresham, OR 970303725
Phone: (503) 382-8100
Fax: (952) 442-3620
Type: Location
10th Street, Somerwood Cottages, Waconia, Carver County, Minnesota, 55387, United States
WACONIA, MN 553874552
Phone: (888) 209-0305
Fax: (952) 442-3620
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: 2023-12-20
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2025-11-30 (190 days ago).
Enrollment records
2
Earliest due date
2025-11-30
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| O20190121001182 | O | Clinic/Group Practice | OR | 2025-11-30 |
| O20231220001196 | O | Clinic/Group Practice | WA | TBD |
What to do next
- Verify current status on the CMS Revalidation Lookup Tool immediately.
- Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
- Overdue revalidation can lead to deactivation of Medicare billing privileges.
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 97086)
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