MICHAEL PIDGEON CRNA
NPI 1376374561
Registered Nurse in Portland, OR

Active since August 09, 2024Accepts Medicare Assignment
4805 NE GLISAN ST, PORTLAND, OR 97213(503) 215-1111 Get Directions Write a Review

NPPES record last updated: August 30, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Michael Pidgeon Crna NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MICHAEL PIDGEON CRNA (NPI 1376374561) is an individual registered nurse in Portland, Oregon, licensed in Oregon (10027219) and active in the NPI registry since August 2024. He is affiliated with Providence Portland Medical Center and is a graduate of Other (2024).

NPPES Registry Identity

NPI1376374561
Entity TypeIndividualMale
Primary Taxonomy163W00000X
Provider Legal NameMICHAEL PIDGEONCredential: CRNA
Location Address4805 NE GLISAN STPortland, OR 97213-2933
Mailing Address2260 N Summit Ave Apt 312Milwaukee, WI 53202-1238
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateAugust 9, 2024
Last NPPES UpdateAugust 30, 2024
NPPES CertifiedAugust 30, 2024
NPI 1376374561 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyRegistered NurseNursing Service Providers
Taxonomy Code163W00000X
Licenses Licensed in OR · 10027219 Licensed in MI · 4704301083 Licensed in WI · 260865-30
Definition

(1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span.

4805 NE GLISAN ST, Portland, OR 97213

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Michael Pidgeon Crna is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1355879958
PECOS Enrollment IDI20250109004115

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Providence Portland Medical Center

Acute Care Hospitals · Portland, OR
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number380061
Location4805 NE Glisan StreetPortland, OR 97213 · Multnomah County
Emergency services Birthing friendly

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.

Internal Medicine
4805 NE GLISAN ST, SUITE BG05
PORTLAND, OR 97213
Internal Medicine (Medical Oncology)
4805 NE GLISAN ST, 6N40
PORTLAND, OR 97213
Registered Nurse (General Practice)
4805 NE GLISAN ST, 3E
PORTLAND, OR 97213
Internal Medicine
4805 NE GLISAN ST, SUITE BG05
PORTLAND, OR 97213
Internal Medicine
4805 NE GLISAN ST, SUITE BG05
PORTLAND, OR 97213
Internal Medicine
4805 NE GLISAN ST, BG05
PORTLAND, OR 97213
Psychiatry & Neurology (Psychiatry)
4805 NE GLISAN ST, 5L
PORTLAND, OR 97213
Registered Nurse
4805 NE GLISAN ST
PORTLAND, OR 97213

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1376374561, enumerated as an "individual" on August 09, 2024.

The provider is located at 4805 NE GLISAN ST PORTLAND, OR 97213 and the phone number is (503) 215-1111.

Registered Nurse with taxonomy code 163W00000X.

Michael Pidgeon is affiliated with: PROVIDENCE PORTLAND MEDICAL CENTER.