NOBLE DREAMS ANESTHESIA LLC – Certified Registered Nurse Anesthetist, NPI 1750889804
Certified Registered Nurse Anesthetist
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for NOBLE DREAMS ANESTHESIA LLC
14713, Southeast Page Park Court, Happy Valley, Metro, Clackamas County, Oregon, 97086, United States
HAPPY VALLEY, OR 970864258
Phone: (865) 384-6465
Type: Mailing
3473 MACI ELLE CT SE
SALEM, OR 973022797
Phone: (865) 384-6465
Type: Mailing
3099 RIVER RD S # 100
SALEM, OR 973029754
Phone: (503) 758-0892
Fax: (503) 966-1177
Type: Location
1020, Webber Street, The Dalles, Wasco County, Oregon, 97058, United States
THE DALLES, OR 970583749
Phone: (541) 769-0426
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: 2018-02-28
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2024-08-31 (646 days ago).
Enrollment records
1
Earliest due date
2024-08-31
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 |
|---|---|---|---|---|
| O20180228002482 | O | Clinic/Group Practice | OR | 2024-08-31 |
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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