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

Q: 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.

Q: What is Justin Vaughn's specialty?

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

Q: 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.

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: September 13, 2026.

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

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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

Phone(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

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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

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska.Insurance ›

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

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

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.

AMANDA CARPENTER COUSINS MD

Obstetrics & Gynecology (Gynecologic Oncology)

9040 JACKSON AVE MADIGAN ARMY MEDICAL CENTER
TACOMA, WA 98431

Pierce County (301) 295-4000

BERNADETTE KUCHINSKY LCSW

Social Worker (Clinical)

9040 JACKSON AVE MADIGAN ARMY MEDICAL CENTER
TACOMA, WA 98431

Pierce County (253) 968-2252

ASHLEY ELIZABETH SMITH M.D.

Pediatrics

9040 JACKSON AVE MADIGAN ARMY MEDICAL CENTER
TACOMA, WA 98431

Pierce County (330) 541-3102

DR. JODIE LYNN BOLT MD

Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology)

9040 JACKSON AVE MADIGAN ARMY MEDICAL CENTER
TACOMA, WA 98431

Pierce County (253) 968-1440

KENNETH JAY ROBLES SELERIO CRNA

Nurse Anesthetist, Certified Registered

9040 JACKSON AVE MADIGAN ARMY MEDICAL CENTER
JOINT BASE LEWIS MCCHORD, WA 98431

Pierce County (253) 968-2252

DR. DELNORA ERICKSON M.D.

Radiology (Radiation Oncology)

9040 JACKSON AVE MADIGAN ARMY MEDICAL CENTER
TACOMA, WA 98431

Pierce County (253) 968-2252

AMY TYLER MALLORY-SMITH LICSW

Social Worker (Clinical)

9040 JACKSON AVE MADIGAN ARMY MEDICAL CENTER
TACOMA, WA 98431

Pierce County (206) 851-7427

ASHLEY N VARGAS LCSW

Social Worker (Clinical)

9040 JACKSON AVE MADIGAN ARMY MEDICAL CENTER
TACOMA, WA 98431

Pierce County (253) 968-4851

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.

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.