JACLYN WHITNEY SHORT
NPI 1699144774
Nurse Anesthetist, Certified Registered in Portland, OR
About Jaclyn Whitney Short NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JACLYN WHITNEY SHORT (NPI 1699144774) is an individual nurse anesthetist, certified registered in Portland, Oregon, licensed in Oregon (201801406CRNA-PP) and active in the NPI registry since September 2015. She is enrolled in Medicare PECOS, is affiliated with Providence St Vincent Medical Center, and is a graduate of Other (2010).
NPPES Registry Identity
Specialties & Licenses 2
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
Jaclyn Whitney Short 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.
Medicare Billing Reassignments
7Medicare enrollment records show Jaclyn Short reassigns Medicare billing to 7 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Portland, OR 97205
- Reassigned Medicare billing, Oregon enrollment
- 271 clinicians in this Medicare group
Portland, OR 97209
- Reassigned Medicare billing, Oregon enrollment
- 3,207 clinicians in this Medicare group
Portland, OR 97213
- Reassigned Medicare billing, Oregon enrollment
- 419 clinicians in this Medicare group
Gresham, OR 97030
- Reassigned Medicare billing, Oregon enrollment
- 11 clinicians in this Medicare group
Eugene, OR 97401
- Reassigned Medicare billing, Oregon enrollment
- 11 clinicians in this Medicare group
Englewood, CO 80113
- Reassigned Medicare billing, Colorado enrollment
- Medicare enrollment name: South Denver Gastroenterology, P.C
- 55 clinicians in this Medicare group
Greenwood Village, CO 80111
- Reassigned Medicare billing, Colorado enrollment
- 971 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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Providence St Vincent Medical Center
Acute Care Hospitals · Portland, ORPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 97239 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
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.
PORTLAND, OR 97239
PORTLAND, OR 97239
PORTLAND, OR 97239
PORTLAND, OR 97239
PORTLAND, OR 97239
PORTLAND, OR 97239
PORTLAND, OR 97239
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 Jaclyn Short's NPI number?
The NPI number for Jaclyn Short is 1699144774. It was assigned to this individual provider in the NPPES registry on September 18, 2015.
Where is Jaclyn Short located?
Jaclyn Short practices at 3455 SW Us Veterans Hospital Rd, Portland, OR 97239. The listed phone number is (970) 420-5017.
What is Jaclyn Short's specialty?
The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.
Is Jaclyn Short enrolled in Medicare?
Yes. Jaclyn Short 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 Jaclyn Short's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jaclyn Short reassigns Medicare benefits to 7 organizations: Oregon Anesthesiology Group PC (Portland, OR), Kaiser Foundation Health Plan Of The Northwest (Portland, OR), Hospitalist Medicine Physicians Of Washington - Tcs (Portland, OR), Columbia Pain And Spine Institute (Gresham, OR), Pacific Surgery Center LLC (Eugene, OR) and 2 more organizations, listed in the Medicare section above. 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 Jaclyn Short's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Jaclyn Short accept?
Health plans from Moda Health Plan, Inc. list Jaclyn Short 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 Jaclyn Short affiliated with any hospitals?
According to CMS data, Jaclyn Short is affiliated with Providence St Vincent Medical Center.
When was this NPI record last updated?
The NPPES record for Jaclyn Short was last updated on August 18, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.
# Jaclyn Whitney Short · NPI 1699144774
Nurse Anesthetist, Certified Registered physician in Portland, Oregon. Individual provider, active in the CMS NPPES registry since September 18, 2015.
## Identity
- **NPI:** 1699144774 (Entity type: Individual)
- **Enumerated:** September 18, 2015
- **Primary specialty:** Nurse Anesthetist, Certified Registered · taxonomy 367500000X
- **State license:** 201801406CRNA-PP (Oregon)
- **Sole proprietor:** No
## Practice location
- **Address:** 3455 SW US VETERANS HOSPITAL RD, Portland, OR 97239
- **Phone:** (970) 420-5017
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging
- **Bills Medicare through:** 7 organizations under Medicare reassignment (form CMS-855R): Oregon Anesthesiology Group PC (NPI 1477527786, Portland, OR); Kaiser Foundation Health Plan Of The Northwest (NPI 1649722034, Portland, OR); Hospitalist Medicine Physicians Of Washington - Tcs (NPI 1649816380, Portland, OR); Columbia Pain And Spine Institute (NPI 1972813962, Gresham, OR); Pacific Surgery Center LLC (NPI 1225042575, Eugene, OR); and 2 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2010
## Record status
- **NPPES last updated:** August 18, 2018
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Source: [NPI Profile](https://npiprofile.com/npi/1699144774) · Data from the CMS NPPES public registry.