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JIM BEAM NIMER
NPI 1619713617
Nurse Anesthetist, Certified Registered in Portland, OR

Active since July 08, 2024Accepts Medicare Assignment
4805 NE GLISAN ST, PORTLAND, OR 97213(503) 215-1111 Get Directions Write a Review

NPPES record last updated: August 7, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 7, 2026, Jul 24, 2024, Jul 8, 2024 (3 updates tracked since 2024).

About Jim Beam Nimer NPPES

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

JIM BEAM NIMER (NPI 1619713617) is an individual nurse anesthetist, certified registered in Portland, Oregon, licensed in Oregon (150043) and active in the NPI registry since July 2024. He is affiliated with Providence Portland Medical Center, maintains a secondary practice location in Little Rock, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1619713617
Entity TypeIndividualMale
Primary Taxonomy367500000X
Provider Legal NameJIM BEAM NIMER
Location Address4805 NE GLISAN STPortland, OR 97213-2933
Mailing Address4301 W Markham StLittle Rock, AR 72205-7199 · (501) 526-7858
Phone(503) 215-1111
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateJuly 8, 2024
Last NPPES UpdateAugust 7, 20263 updates tracked since enumeration
NPPES CertifiedAugust 7, 2026
✔ NPI 1619713617 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 OR · 150043
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 NurseTaxonomy 163W00000X · License 215092 (AR)
4805 NE GLISAN ST, Portland, OR 97213
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Secondary Practice Location 1

Location 14301 W Markham StLittle Rock, AR 72205-7199 · Phone (501) 526-7858

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

Jim Beam Nimer 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 ID3779011333
PECOS Enrollment IDI20250109002380

Medicare Billing Reassignment

Medicare enrollment records show Jim Nimer reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Hospitalist Medicine Physicians Of Washington - Tcs
Same address
Anesthesiology
4805 NE GLISAN ST
Portland, OR 97213
  • Reassigned Medicare billing, Oregon enrollment
  • 419 clinicians in this Medicare group
NPI 1649816380 (503) 215-1111

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.

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 97213 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.

SALONA SHRESTHA MD
Internal Medicine
4805 NE GLISAN ST
PORTLAND, OR 97213
Multnomah County (503) 215-2392
PROVIDENCE HEALTH & SERVICES - OREGON
General Acute Care Hospital
4805 NE GLISAN ST
PORTLAND, OR 97213
Multnomah County (503) 451-3000
DR. ROBERT THOMAS MARTIN M.D.
Emergency Medicine
4805 NE GLISAN ST
PORTLAND, OR 97213
Multnomah County (503) 297-6334
CECILIA BRADFORD CRNA
Nurse Anesthetist, Certified Registered
4805 NE GLISAN ST
PORTLAND, OR 97213
Multnomah County (503) 215-1111
PROVIDENCE HEALTH & SERVICES - OREGON
Psychiatric Unit
4805 NE GLISAN ST
PORTLAND, OR 97213
Multnomah County (503) 215-4323
GITA D GELFER DO
Hospitalist
4805 NE GLISAN ST, STE BG05
PORTLAND, OR 97213
Multnomah County (503) 215-2392
MECCA CARTER
Doula
4805 NE GLISAN ST
PORTLAND, OR 97213
Multnomah County (503) 215-1111
JESUS ERNESTO CONRIQUE GARCIA
Nurse's Aide
4805 NE GLISAN ST
PORTLAND, OR 97213
Multnomah County (503) 215-1111

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 Jim Nimer's NPI number?

The NPI number for Jim Nimer is 1619713617. It was assigned to this individual provider in the NPPES registry on July 8, 2024.

Where is Jim Nimer located?

Jim Nimer practices at 4805 NE Glisan St, Portland, OR 97213. The listed phone number is (503) 215-1111.

What is Jim Nimer's specialty?

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

Is Jim Nimer enrolled in Medicare?

Yes. Jim Nimer 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 organization bills Medicare for Jim Nimer's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jim Nimer reassigns Medicare benefits to Hospitalist Medicine Physicians Of Washington - Tcs (Portland, OR). The 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 Jim Nimer's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Jim Nimer affiliated with any hospitals?

According to CMS data, Jim Nimer is affiliated with Providence Portland Medical Center.

When was this NPI record last updated?

The NPPES record for Jim Nimer was last updated on August 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.