JESSE I BROOME CRNA
NPI 1528308558
Nurse Anesthetist, Certified Registered in Longview, WA
About Jesse I Broome Crna NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JESSE I BROOME CRNA (NPI 1528308558) is an individual nurse anesthetist, certified registered in Longview, Washington, licensed in Washington (AP60556936) and active in the NPI registry since February 2013. He is affiliated with Providence Portland Medical Center, maintains 2 additional practice locations, and is a graduate of Other (2013).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Locations 2
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
Jesse I Broome 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.
Medicare Billing Reassignments
7Medicare enrollment records show Jesse Broome reassigns Medicare billing to 7 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Longview, WA 98632
- Reassigned Medicare billing, Washington enrollment
- 6 clinicians in this Medicare group
Vancouver, WA 98686
- Reassigned Medicare billing, Washington and Oregon enrollments
- Medicare enrollment name: Kaiser Foundation Health Plan Of The Northwest
- Also billed through NPI 1093043424 (Oregon)
- 2,534 clinicians in this Medicare group
Vancouver, WA 98664
- Reassigned Medicare billing, Oregon and Washington enrollments
- 108 clinicians in this Medicare group
Vancouver, WA 98664
- Reassigned Medicare billing, Washington enrollment
- 244 clinicians in this Medicare group
Portland, OR 97213
- Reassigned Medicare billing, Oregon enrollment
- 419 clinicians in this Medicare group
Medford, OR 97504
- Reassigned Medicare billing, Oregon enrollment
- 64 clinicians in this Medicare group
San Francisco, CA 94104
- Reassigned Medicare billing, California enrollment
- 94 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.
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, ORPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 98632 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
LONGVIEW, WA 98632
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 Jesse Broome's NPI number?
The NPI number for Jesse Broome is 1528308558. It was assigned to this individual provider in the NPPES registry on February 28, 2013.
Where is Jesse Broome located?
Jesse Broome practices at 1615 Delaware St, Longview, WA 98632. The listed phone number is (360) 414-2000.
What is Jesse Broome's specialty?
The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.
Is Jesse Broome enrolled in Medicare?
Yes. Jesse Broome 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 Jesse Broome's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jesse Broome reassigns Medicare benefits to 7 organizations: Cascadia Interventional Anesthesia (Longview, WA), Manor Care Of Salmon Creek Wa, Association (Vancouver, WA), Columbia Anesthesia Group P S (Vancouver, WA), Peacehealth (Vancouver, WA), Hospitalist Medicine Physicians Of Washington - Tcs (Portland, OR) and 2 more organizations, listed in the Medicare section above. 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 Jesse Broome's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Jesse Broome affiliated with any hospitals?
According to CMS data, Jesse Broome is affiliated with Providence Portland Medical Center.
When was this NPI record last updated?
The NPPES record for Jesse Broome was last updated on May 18, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Jesse I Broome, CRNA · NPI 1528308558
Nurse Anesthetist, Certified Registered physician in Longview, Washington. Individual provider, active in the CMS NPPES registry since February 28, 2013.
## Identity
- **NPI:** 1528308558 (Entity type: Individual)
- **Enumerated:** February 28, 2013
- **Primary specialty:** Nurse Anesthetist, Certified Registered · taxonomy 367500000X
- **State license:** AP60556936 (Washington)
- **Sole proprietor:** No
## Practice location
- **Address:** 1615 DELAWARE ST, Longview, WA 98632-2367
- **Phone:** (360) 414-2000
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Bills Medicare through:** 7 organizations under Medicare reassignment (form CMS-855R): Cascadia Interventional Anesthesia (NPI 1316791957, Longview, WA); Manor Care Of Salmon Creek Wa, Association (NPI 1609171081, Vancouver, WA); Columbia Anesthesia Group P S (NPI 1861448235, Vancouver, WA); Peacehealth (NPI 1134178999, Vancouver, WA); Hospitalist Medicine Physicians Of Washington - Tcs (NPI 1649816380, Portland, OR); and 2 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2013
## Record status
- **NPPES last updated:** May 18, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1528308558) · Data from the CMS NPPES public registry.