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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MRS. EMILY KAYE CLEMENTSON CRNA
NPI 1609206432
Nurse Anesthetist, Certified Registered in Vancouver, WA

Active since November 14, 2013Accepts Medicare Assignment
400 NE MOTHER JOSEPH PL, VANCOUVER, WA 98664(360) 828-5396(360) 828-5455 Get Directions Write a Review

NPPES record last updated: September 24, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Sep 24, 2026, Jul 10, 2020 (2 updates tracked since 2020).

About Mrs. Emily Kaye Clementson Crna NPPES

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

MRS. EMILY KAYE CLEMENTSON CRNA (NPI 1609206432) is an individual nurse anesthetist, certified registered in Vancouver, Washington, licensed in New York (679753) and active in the NPI registry since November 2013. She is affiliated with Legacy Salmon Creek Medical Center and is a graduate of Other (2014).

NPPES Registry Identity

NPI1609206432
Entity TypeIndividualFemale
Primary Taxonomy367500000X
Provider Legal NameMRS. EMILY KAYE CLEMENTSONCredential: CRNA
Location Address400 NE MOTHER JOSEPH PLVancouver, WA 98664-3200
Mailing Address505 Ne 87th Ave Ste 210Vancouver, WA 98664-1988 · (360) 828-5396 · Fax (360) 828-5455
Phone(360) 828-5396
Fax(360) 828-5455
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateNovember 14, 2013
Last NPPES UpdateSeptember 24, 20262 updates tracked since enumeration
NPPES CertifiedSeptember 24, 2026
✔ NPI 1609206432 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
Licenses✔ Licensed in NY · 679753✔ Licensed in WA · 61648889
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.
400 NE MOTHER JOSEPH PL, Vancouver, WA 98664
Open in Google Maps ↗

Other Names 1

Former Name (1)Miss Emily Kaye Lufholm Rn

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

Mrs. Emily Kaye Clementson 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 ID5991935108
PECOS Enrollment IDI20250813004395

Medicare Billing Reassignments

2

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

Columbia Anesthesia Group P S
Same address
Anesthesiology
400 NE MOTHER JOSEPH PL
Vancouver, WA 98664
  • Reassigned Medicare billing, Washington enrollment
  • 155 clinicians in this Medicare group
NPI 1861448235 (360) 828-5396
Oregon Anesthesiology Group PC
8.5 mi
Anesthesiology
707 SW WASHINGTON ST, SUITE 700
Portland, OR 97205
  • Reassigned Medicare billing, Washington enrollment
  • 180 clinicians in this Medicare group
NPI 1477527786 (503) 299-9906

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.

Legacy Salmon Creek Medical Center

Acute Care Hospitals · Vancouver, WA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number500150
Location2211 NE 139th StreetVancouver, WA 98686 · Clark County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98664 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.

DR. TYLER JUSTIN PARADIS MD
Anesthesiology
400 NE MOTHER JOSEPH PL
VANCOUVER, WA 98664
Clark County (360) 828-5396
MACKENZIE RHOADES APRN-CNP, PMHNP-BC
Clinical Nurse Specialist (Psychiatric/Mental Health)
400 NE MOTHER JOSEPH PL
VANCOUVER, WA 98664
Clark County (360) 256-2000
ALBERT MATTHEW DICKAN
Psychiatry & Neurology (Psychiatry)
400 NE MOTHER JOSEPH PL
VANCOUVER, WA 98664
Clark County (360) 514-3191
BRADDEN JENSEN MD
Pathology (Anatomic Pathology & Clinical Pathology)
400 NE MOTHER JOSEPH PL
VANCOUVER, WA 98664
Clark County (360) 514-2116
DR. RAMON LARIOS MD
Anesthesiology
400 NE MOTHER JOSEPH PL
VANCOUVER, WA 98664
Clark County (360) 828-5396
WESLEY HANSON PHARMD
Pharmacist
400 NE MOTHER JOSEPH PL
VANCOUVER, WA 98664
Clark County (360) 514-2881
HENRY NGUYEN PHARMD
Pharmacist
400 NE MOTHER JOSEPH PL
VANCOUVER, WA 98664
Clark County (360) 514-2000
DR. GREGORY A CONNELL M.D.
Anesthesiology
400 NE MOTHER JOSEPH PL
VANCOUVER, WA 98664
Clark County (360) 667-3056

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 Emily Clementson's NPI number?

The NPI number for Emily Clementson is 1609206432. It was assigned to this individual provider in the NPPES registry on November 14, 2013. The provider is also known as Miss Emily Kaye Lufholm Rn.

Where is Emily Clementson located?

Emily Clementson practices at 400 NE Mother Joseph Pl, Vancouver, WA 98664. The listed phone number is (360) 828-5396.

What is Emily Clementson's specialty?

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

Is Emily Clementson enrolled in Medicare?

Yes. Emily Clementson 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 Emily Clementson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Emily Clementson reassigns Medicare benefits to 2 organizations: Columbia Anesthesia Group P S (Vancouver, WA) and Oregon Anesthesiology Group PC (Portland, OR). 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 Emily Clementson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Emily Clementson affiliated with any hospitals?

According to CMS data, Emily Clementson is affiliated with Legacy Salmon Creek Medical Center.

When was this NPI record last updated?

The NPPES record for Emily Clementson was last updated on September 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 41 days 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.