NICHOLAI LEON MATHEWSON CRNA, MSN
NPI 1487291787
Nurse Anesthetist, Certified Registered in Portland, OR

Active since December 05, 2019Accepts Medicare Assignment
1015 NW 22ND AVE, PORTLAND, OR 97210(541) 601-0927 Get Directions Write a Review

NPPES record last updated: December 5, 2019. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Nicholai Leon Mathewson Crna, Msn NPPES

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

NICHOLAI LEON MATHEWSON CRNA, MSN (NPI 1487291787) is an individual nurse anesthetist, certified registered in Portland, Oregon, licensed in California (95141062) and active in the NPI registry since December 2019. He is affiliated with Providence St Vincent Medical Center and is a graduate of Other (2019).

NPPES Registry Identity

NPI1487291787
Entity TypeIndividualMale
Primary Taxonomy367500000X
Provider Legal NameNICHOLAI LEON MATHEWSONCredential: CRNA, MSN
Location Address1015 NW 22ND AVEPortland, OR 97210-3025
Mailing Address412 Verona AveDanville, CA 94526-2412 · (541) 601-0927
Sole ProprietorYes
Medical School CMSOtherGraduated 2019
Enumeration DateDecember 5, 2019
✔ NPI 1487291787 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
License✔ Licensed in CA · 95141062
Definition
(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.
1015 NW 22ND AVE, Portland, OR 97210

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

Nicholai Leon Mathewson Crna, Msn 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 ID8426486770
PECOS Enrollment IDI20200319001480

Medicare Billing Reassignments

5

Medicare enrollment records show Nicholai Mathewson reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Anesthesiology
4805 NE GLISAN ST
Portland, OR 97213
  • Reassigned Medicare billing, Oregon enrollment
  • 419 clinicians in this Medicare group
Anesthesiology
10150 SE 32ND AVE
Milwaukie, OR 97222
  • Reassigned Medicare billing, Oregon enrollment
  • 183 clinicians in this Medicare group
Anesthesiology
400 NE MOTHER JOSEPH PL
Vancouver, WA 98664
  • Reassigned Medicare billing, Oregon enrollment
  • 108 clinicians in this Medicare group
Critical Access
444 BRUCE ST
Yreka, CA 96097
  • Reassigned Medicare billing, California enrollment
  • 140 clinicians in this Medicare group
Anesthesiology
914 PINE ST
Mount Shasta, CA 96067
  • Reassigned Medicare billing, California enrollment
  • 21 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.

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.

Ultrasonic guidance for needle placement 76942
Ultrasonic guidance for needle placement is a technique where sound waves create images that help accurately position the needle during procedures. This method ensures precision, minimizes discomfort, and increases safety.
29 services28 patients
Anesthesia for exam of colon using an endoscope 00812
Anesthesia for a colon examination with an endoscope is a method used to ensure comfort during the procedure. It involves administering medication to help you relax or sleep, thus reducing discomfort as the endoscope, a thin, flexible tube, is navigated through your colon.
22 services21 patients
Anesthesia for other procedure on large bowel using an endoscope 00811
Anesthesia for an endoscopic procedure on the large bowel ensures comfort and relaxation during the procedure. You'll be given medication to make you drowsy or asleep, eliminating any discomfort. The medication can be administered through a vein or inhaled.
16 services16 patients
Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope 00731
This procedure involves the use of an endoscope, a flexible tube with a light and camera, to examine your esophagus, stomach, or upper small bowel. Anesthesia ensures you are comfortable and pain-free during the procedure.
15 services15 patients

Hospital Affiliations CMS Care Compare 2

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

Providence St Vincent Medical Center

Acute Care Hospitals · Portland, OR
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number380004
Location9205 SW Barnes RoadPortland, OR 97225 · Washington County
Emergency services Birthing friendly

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97210 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$134.16 typical visit price
range $58.99 – $176.88
Typical copayment $33.54 (range $14.74 – $44.22)
Most-billed visit code 99204
Established Patient
$73.28 typical visit price
range $19.32 – $144.79
Typical copayment $18.32 (range $4.83 – $36.19)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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
1015 NW 22ND AVE
PORTLAND, OR 97210
Internal Medicine (Infectious Disease)
1015 NW 22ND AVE, R200
PORTLAND, OR 97210
Student in an Organized Health Care Education/Training Program
1015 NW 22ND AVE
PORTLAND, OR 97210
Student in an Organized Health Care Education/Training Program
1015 NW 22ND AVE
PORTLAND, OR 97210
Emergency Medicine
1015 NW 22ND AVE
PORTLAND, OR 97210
Internal Medicine
1015 NW 22ND AVE
PORTLAND, OR 97210
Pathology (Anatomic Pathology & Clinical Pathology)
1015 NW 22ND AVE
PORTLAND, OR 97210
Pharmacist
1015 NW 22ND AVE
PORTLAND, OR 97210

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 Nicholai Mathewson's NPI number?

The NPI number for Nicholai Mathewson is 1487291787. It was assigned to this individual provider in the NPPES registry on December 5, 2019.

Where is Nicholai Mathewson located?

Nicholai Mathewson practices at 1015 NW 22nd Ave, Portland, OR 97210. The listed phone number is (541) 601-0927.

What is Nicholai Mathewson's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Is Nicholai Mathewson enrolled in Medicare?

Yes. Nicholai Mathewson 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 organizations bill Medicare for Nicholai Mathewson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nicholai Mathewson reassigns Medicare benefits to 5 organizations: Hospitalist Medicine Physicians Of Washington - Tcs (Portland, OR), Anesthesia Associates Northwest LLC (Milwaukie, OR), Columbia Anesthesia Group P S (Vancouver, WA), Siskiyou Hospital, Inc. (Yreka, CA) and Parish Anesthesia Of California, A Professional Medical Corporation (Mount Shasta, CA). Each 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 Nicholai Mathewson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Nicholai Mathewson affiliated with any hospitals?

According to CMS data, Nicholai Mathewson is affiliated with Providence St Vincent Medical Center and Providence Portland Medical Center.

When was this NPI record last updated?

The NPPES record for Nicholai Mathewson was last updated on December 5, 2019. 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.