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

TYLER BIANCHETTO
NPI 1689350720
Nurse Anesthetist, Certified Registered in Portland, OR

Active since June 23, 2023
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239(206) 915-4834 Get Directions Write a Review

NPPES record last updated: September 22, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 22, 2026, Sep 11, 2026, Jun 23, 2023 (3 updates tracked since 2023).

About Tyler Bianchetto NPPES

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

TYLER BIANCHETTO (NPI 1689350720) is an individual nurse anesthetist, certified registered in Portland, Oregon, licensed in Oregon (10010330) and active in the NPI registry since June 2023. He is a graduate of Oregon Health Sciences University School Of Medicine (2026).

NPPES Registry Identity

NPI1689350720
Entity TypeIndividualMale
Primary Taxonomy367500000X
Provider Legal NameTYLER BIANCHETTO
Location Address3181 SW SAM JACKSON PARK RDPortland, OR 97239-3079
Mailing Address1400 Sw 5th Ave Ste 500Portland, OR 97201-5537 · Fax (503) 346-8021
Sole ProprietorYes
Medical School CMSOregon Health Sciences University School Of MedicineGraduated 2026
Enumeration DateJune 23, 2023
Last NPPES UpdateSeptember 22, 20263 updates tracked since enumeration
NPPES CertifiedSeptember 22, 2026
✔ NPI 1689350720 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
License✔ Licensed in OR · 10010330
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.
3181 SW SAM JACKSON PARK RD, Portland, OR 97239

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Tyler Bianchetto is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID749749604
PECOS Enrollment IDI20260831002863

Medicare Billing Reassignment

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

Anesthesiology
3181 SW SAM JACKSON PARK RD, MAILCODE: SJH-2
Portland, OR 97239
  • Reassigned Medicare billing, Oregon enrollment
  • 279 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.

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.

Internal Medicine (Pulmonary Disease)
3181 SW SAM JACKSON PARK RD, UHN67
PORTLAND, OR 97239
Nurse Practitioner (Acute Care)
3181 SW SAM JACKSON PARK RD
PORTLAND, OR 97239
Internal Medicine
3181 SW SAM JACKSON PARK RD, PPV 350
PORTLAND, OR 97239
Psychologist (Clinical)
3181 SW SAM JACKSON PARK RD
PORTLAND, OR 97239
Massage Therapist
3181 SW SAM JACKSON PARK RD, 7D19
PORTLAND, OR 97239
Psychiatry & Neurology (Psychiatry)
3181 SW SAM JACKSON PARK RD
PORTLAND, OR 97239
Radiology (Diagnostic Radiology)
3181 SW SAM JACKSON PARK RD
PORTLAND, OR 97239
Student in an Organized Health Care Education/Training Program
3181 SW SAM JACKSON PARK RD
PORTLAND, OR 97239

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 Tyler Bianchetto's NPI number?

The NPI number for Tyler Bianchetto is 1689350720. It was assigned to this individual provider in the NPPES registry on June 23, 2023.

Where is Tyler Bianchetto located?

Tyler Bianchetto practices at 3181 SW Sam Jackson Park Rd, Portland, OR 97239. The listed phone number is (206) 915-4834.

What is Tyler Bianchetto's specialty?

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

Is Tyler Bianchetto enrolled in Medicare?

Yes. Tyler Bianchetto is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Tyler Bianchetto's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tyler Bianchetto reassigns Medicare benefits to University Anesthesiology Associates, LLC (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 Tyler Bianchetto's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Tyler Bianchetto was last updated on September 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 30 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.