MR. CHARLES JOSEPH PARADISE CRNA
NPI 1063402634
Nurse Anesthetist, Certified Registered in Medford, OR
About Mr. Charles Joseph Paradise Crna NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. CHARLES JOSEPH PARADISE CRNA (NPI 1063402634) is an individual nurse anesthetist, certified registered in Medford, Oregon, licensed in Oregon (202002199CRNA) and active in the NPI registry since October 2005.
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mr. Charles Joseph Paradise Crna is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Charles Paradise reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Medford, OR 97504
- Reassigned Medicare billing, Oregon enrollment
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 4
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
MEDFORD, OR 97504
MEDFORD, OR 97504
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Charles Paradise's NPI number?
The NPI number for Charles Paradise is 1063402634. It was assigned to this individual provider in the NPPES registry on October 25, 2005.
Where is Charles Paradise located?
Charles Paradise practices at 1333 E Barnett Rd, Medford, OR 97504. The listed phone number is (541) 779-4711.
What is Charles Paradise's specialty?
The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.
Is Charles Paradise enrolled in Medicare?
Yes. Charles Paradise is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Charles Paradise's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Charles Paradise reassigns Medicare benefits to Third Coast Anesthesia (Medford, OR). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Charles Paradise's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Charles Paradise accept?
Health plans from Moda Health Plan, Inc. list Charles Paradise as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Charles Paradise was last updated on July 31, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.