JUSTIN T VAUGHN CRNA
NPI 1568412096
Nurse Anesthetist, Certified Registered in Tacoma, WA

Active since May 12, 2006Accepts Medicare Assignment
9040 JACKSON AVE MADIGAN ARMY MEDICAL CENTER, TACOMA, WA 98431(253) 968-1110 Get Directions Write a Review

NPPES record last updated: August 21, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 21, 2024, Aug 23, 2019 (2 updates tracked since 2019).

About Justin T Vaughn Crna NPPES

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

JUSTIN T VAUGHN CRNA (NPI 1568412096) is an individual nurse anesthetist, certified registered in Tacoma, Washington, licensed in Washington (AP300007207) and active in the NPI registry since May 2006. He is affiliated with Mason General Hospital & Family Of Clinics, maintains a secondary practice location in Olympia, and is a graduate of Other (2003).

NPPES Registry Identity

NPI1568412096
Entity TypeIndividualMale
Primary Taxonomy367500000X
Provider Legal NameJUSTIN T VAUGHNCredential: CRNA
Location Address9040 JACKSON AVE MADIGAN ARMY MEDICAL CENTERTacoma, WA 98431-0001
Mailing AddressMadigan Army Medical Ctr, 9040 A Reid StTacoma, WA 98431-0001 · (253) 968-1110
Sole ProprietorNo
Medical School CMSOtherGraduated 2003
Enumeration DateMay 12, 2006
Last NPPES UpdateAugust 21, 20242 updates tracked since enumeration
NPPES CertifiedAugust 21, 2024
✔ NPI 1568412096 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
License✔ Licensed in WA · AP300007207
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.
Also ListedRegistered Nurse · General PracticeTaxonomy 163WG0000X · License RN00162696 (WA)
9040 JACKSON AVE MADIGAN ARMY MEDICAL CENTER, Tacoma, WA 98431

Secondary Practice Location 1

Location 1209 Lilly Rd NEOlympia, WA 98506-5030 · Phone (360) 413-8250 · Fax (360) 413-8850

Other Identifiers 2

Other3350VAWA · Individual Blue Shield
Other0039515WA · L&i

Accepted Insurance

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

Justin T Vaughn 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 ID3971516089
PECOS Enrollment IDI20060712000358

Medicare Billing Reassignments

2

Medicare enrollment records show Justin Vaughn reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Gastroenterology
209 LILLY ROAD NE
Olympia, WA 98506
  • Reassigned Medicare billing, Washington enrollment
  • 59 clinicians in this Medicare group
Nurse Anesthetist, Certified Registered
901 MT VIEW DR, BLDG 1
Shelton, WA 98584
  • Reassigned Medicare billing, Washington enrollment
  • Also billed through NPI 1760568752 (Washington)
  • 31 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

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.

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.
21 services21 patients

Hospital Affiliations CMS Care Compare

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

Mason General Hospital & Family Of Clinics

Critical Access Hospitals · Shelton, WA
1/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number501336
Location901 Mt View DriveShelton, WA 98584 · Mason County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98431 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
$130.99 typical visit price
range $57.27 – $172.80
Typical copayment $32.74 (range $14.31 – $43.20)
Most-billed visit code 99204
Established Patient
$71.29 typical visit price
range $18.56 – $141.11
Typical copayment $17.82 (range $4.64 – $35.27)
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.

Obstetrics & Gynecology (Gynecologic Oncology)
9040 JACKSON AVE MADIGAN ARMY MEDICAL CENTER
TACOMA, WA 98431
Social Worker (Clinical)
9040 JACKSON AVE MADIGAN ARMY MEDICAL CENTER
TACOMA, WA 98431
Pediatrics
9040 JACKSON AVE MADIGAN ARMY MEDICAL CENTER
TACOMA, WA 98431
Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology)
9040 JACKSON AVE MADIGAN ARMY MEDICAL CENTER
TACOMA, WA 98431
Nurse Anesthetist, Certified Registered
9040 JACKSON AVE MADIGAN ARMY MEDICAL CENTER
JOINT BASE LEWIS MCCHORD, WA 98431
Radiology (Radiation Oncology)
9040 JACKSON AVE MADIGAN ARMY MEDICAL CENTER
TACOMA, WA 98431
Social Worker (Clinical)
9040 JACKSON AVE MADIGAN ARMY MEDICAL CENTER
TACOMA, WA 98431
Social Worker (Clinical)
9040 JACKSON AVE MADIGAN ARMY MEDICAL CENTER
TACOMA, WA 98431

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 Justin Vaughn's NPI number?

The NPI number for Justin Vaughn is 1568412096. It was assigned to this individual provider in the NPPES registry on May 12, 2006.

Where is Justin Vaughn located?

Justin Vaughn practices at 9040 Jackson Ave Madigan Army Medical Center, Tacoma, WA 98431. The listed phone number is (253) 968-1110.

What is Justin Vaughn's specialty?

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

Is Justin Vaughn enrolled in Medicare?

Yes. Justin Vaughn 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 Justin Vaughn's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Justin Vaughn reassigns Medicare benefits to 2 organizations: Gastroenterology Associates Clinical Practice, PLLC (Olympia, WA) and Public Hospital District No 1 Of Mason County (Shelton, WA). 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 Justin Vaughn's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Justin Vaughn accept?

Health plans from Premera Blue Cross Blue Shield of Alaska list Justin Vaughn 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.

Is Justin Vaughn affiliated with any hospitals?

According to CMS data, Justin Vaughn is affiliated with Mason General Hospital & Family Of Clinics.

When was this NPI record last updated?

The NPPES record for Justin Vaughn was last updated on August 21, 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.