JESSICA GRAHAM CARROLL CRNA
NPI 1750683058
Nurse Anesthetist, Certified Registered in Portland, OR

NPI Status: Active since November 19, 2010

Contact Information

1015 NW 22ND AVE
ANESTHESIA DEPT
PORTLAND, OR
ZIP 97210
Phone: (503) 413-7711

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  • Individual
  • Female
  • Years of Experience 14
  • Nurse Anesthetist, Certified Registered
  • Accepts Medicare Approved Payment

About JESSICA CARROLL

This page provides the complete NPI Profile along with additional information for Jessica Carroll, a provider established in Portland, Oregon with a medical specialization in Nurse Anesthetist, Certified Registered and more than 14 years of experience. The healthcare provider is registered in the NPI registry with number 1750683058 assigned on November 2010. The practitioner's primary taxonomy code is 367500000X with license number 201360007CRNA (OR). The provider is registered as an individual and her NPI record was last updated 12 years ago.

NPI
1750683058
Provider Name
JESSICA GRAHAM CARROLL CRNA
Other Name
JESSICA MARIE GRAHAM
Other Name Type
Former Name (1)
Gender
Female
Entity Type
Individual
Location Address
1015 NW 22ND AVE ANESTHESIA DEPT PORTLAND, OR 97210
Location Phone
(503) 413-7711
Mailing Address
1015 NW 22ND AVE ANESTHESIA DEPT PORTLAND, OR 97210
Medical School Name
OTHER
Graduation Year
2012
Is Sole Proprietor?
No
Enumeration Date
11-19-2010
Last Update Date
02-11-2014
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Nurse Anesthetist, Certified Registered

Taxonomy Code
367500000X
Type
Physician Assistants & Advanced Practice Nursing Providers
License No.
201360007CRNA
License State
OR
Taxonomy Description
(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.

Medicare Participation & PECOS Enrollment Status

Jessica Carroll is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • PECOS PAC ID: 3173761988

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20130605000556

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Anesthesia for injection, drainage or aspiration procedures on spine or spinal cord of lower back accessed through skin using imaging guidance

This procedure involves using anesthesia to numb your lower back for certain procedures like injections, drainage, or aspiration on your spine or spinal cord. Imaging guidance is used to accurately locate the area to be treated, ensuring precision and safety.

This service was performed 26 times for 23 patients

Anesthesia for lens surgery

Anesthesia for lens surgery involves administering medication to numb the eye area, ensuring you feel no pain during the procedure. This can be a local anesthetic (numbing only the eye area) or general (where you're asleep). It helps make the surgery comfortable and stress-free.

This service was performed 342 times for 283 patients

Anesthesia for nerve destruction procedures on spine or spinal cord of lower back accessed through skin using imaging guidance

This is a procedure where anesthesia is applied to numb specific nerves in your lower back. Using imaging guidance, the doctor can accurately locate these nerves through the skin. This is done to alleviate pain by disrupting nerve signals. It's a safe and effective method.

This service was performed 15 times for 13 patients

Physician Visit Costs



The typical physician office visit costs for Medicare beneficiaries in this area are: $33.54 for a new patient copayment and $18.32 for an established patient copayment.

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 97210 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99204

  • Average New Patient Price $134.16
  • Minimum New Patient Price $58.99
  • Maximum New Patient Price $176.88
  • Average New Patient Copayment $33.54
  • Minimum New Patient Copayment $14.74
  • Maximum New Patient Copayment $44.22

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99213

  • Average Established Patient Price $73.28
  • Minimum Established Patient Price $19.32
  • Maximum Established Patient Price $144.79
  • Average Established Patient Copayment $18.32
  • Minimum Established Patient Copayment $4.83
  • Maximum Established Patient Copayment $36.19

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1750683058, we treat the final digit (8) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 52. The final step is to find the difference between that total and the next multiple of ten (60 - 52 = 8).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
7
Unchanged
Pos 3
5
Doubled → 10 → 1 + 0
Pos 4
0
Unchanged
Pos 5
6
Doubled → 12 → 1 + 2
Pos 6
8
Unchanged
Pos 7
3
Doubled → 6
Pos 8
0
Unchanged
Pos 9
5
Doubled → 10 → 1 + 0
Check
8
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 5 → 10 → 1 6 → 12 → 3 3 → 6 5 → 10 → 1

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 7 + 1 + 0 + 0 + 1 + 2 + 8 + 6 + 0 + 1 + 0 + 24 = 52

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 52 is 60. The difference is the calculated check digit.

60 - 52 = 8
This NPI is valid
The calculated check digit is 8, which matches the last digit of 1750683058.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Radiology (Radiation Oncology)
1015 NW 22ND AVE, LL50
PORTLAND, OR 97210
Internal Medicine
1015 NW 22ND AVE
PORTLAND, OR 97210
Internal Medicine
1015 NW 22ND AVE, SUITE 200
PORTLAND, OR 97210
Internal Medicine (Critical Care Medicine)
1015 NW 22ND AVE, R200
PORTLAND, OR 97210
Psychiatry & Neurology (Psychiatry)
1015 NW 22ND AVE, NORTHRUP #33
PORTLAND, OR 97210
Internal Medicine
1015 NW 22ND AVE
PORTLAND, OR 97210
Hospitalist
1015 NW 22ND AVE
PORTLAND, OR 97210
Radiology (Diagnostic Radiology)
1015 NW 22ND AVE
PORTLAND, OR 97210
Radiology (Diagnostic Radiology)
1015 NW 22ND AVE, STE T-240
PORTLAND, OR 97210
Radiology (Diagnostic Radiology)
1015 NW 22ND AVE, STE T240
PORTLAND, OR 97210
Internal Medicine (Critical Care Medicine)
1015 NW 22ND AVE, LEGACY PORTLAND HOSPITALS
PORTLAND, OR 97210
Radiology (Diagnostic Radiology)
1015 NW 22ND AVE, STE T240
PORTLAND, OR 97210
Radiology (Diagnostic Radiology)
1015 NW 22ND AVE, STE T240
PORTLAND, OR 97210
Radiology (Diagnostic Radiology)
1015 NW 22ND AVE
PORTLAND, OR 97210
Pathology (Anatomic Pathology & Clinical Pathology)
1015 NW 22ND AVE
PORTLAND, OR 97210
Pathology (Anatomic Pathology & Clinical Pathology)
1015 NW 22ND AVE
PORTLAND, OR 97210
Emergency Medicine
1015 NW 22ND AVE
PORTLAND, OR 97210
Emergency Medicine
1015 NW 22ND AVE
PORTLAND, OR 97210
Emergency Medicine
1015 NW 22ND AVE
PORTLAND, OR 97210
Emergency Medicine
1015 NW 22ND AVE
PORTLAND, OR 97210

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1750683058, enumerated as an "individual" on November 19, 2010.

The provider is located at 1015 NW 22ND AVE ANESTHESIA DEPT PORTLAND, OR 97210 and the phone number is (503) 413-7711.

Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.