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: October 25, 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, billing reassignment, and ordering and referring status from CMS.

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

Medicare Billing Reassignment

Medicare enrollment records show Michael Pidgeon reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Anesthesiology
4805 NE GLISAN ST
Portland, OR 97213
  • Reassigned Medicare billing, Oregon enrollment
  • 419 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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
PORTLAND, OR 97213
General Acute Care Hospital
4805 NE GLISAN ST
PORTLAND, OR 97213
Emergency Medicine
4805 NE GLISAN ST
PORTLAND, OR 97213
Nurse Anesthetist, Certified Registered
4805 NE GLISAN ST
PORTLAND, OR 97213
Psychiatric Unit
4805 NE GLISAN ST
PORTLAND, OR 97213
Hospitalist
4805 NE GLISAN ST, STE BG05
PORTLAND, OR 97213
Doula
4805 NE GLISAN ST
PORTLAND, OR 97213
Nurse's Aide
4805 NE GLISAN ST
PORTLAND, OR 97213

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 Michael Pidgeon's NPI number?

The NPI number for Michael Pidgeon is 1376374561. It was assigned to this individual provider in the NPPES registry on August 9, 2024.

Where is Michael Pidgeon located?

Michael Pidgeon practices at 4805 NE Glisan St, Portland, OR 97213. The listed phone number is (503) 215-1111.

What is Michael Pidgeon's specialty?

The primary specialty registered for this NPI is Registered Nurse with taxonomy code 163W00000X.

Is Michael Pidgeon enrolled in Medicare?

Yes. Michael Pidgeon is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Michael Pidgeon's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Michael Pidgeon reassigns Medicare benefits to Hospitalist Medicine Physicians Of Washington - Tcs (Portland, 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 Michael Pidgeon's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Michael Pidgeon affiliated with any hospitals?

According to CMS data, Michael Pidgeon is affiliated with Providence Portland Medical Center.

When was this NPI record last updated?

The NPPES record for Michael Pidgeon was last updated on August 30, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.