JESSICA GRAHAM CARROLL CRNA
NPI 1750683058
Nurse Anesthetist, Certified Registered in Portland, OR
About Jessica Graham Carroll Crna NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JESSICA GRAHAM CARROLL CRNA (NPI 1750683058) is an individual nurse anesthetist, certified registered in Portland, Oregon, licensed in Oregon (201360007CRNA) and active in the NPI registry since November 2010. She is a graduate of Other (2012).
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Jessica Graham Carroll 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.
Areas of Expertise CMS Part B claims 2
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 97210 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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 97210
PORTLAND, OR 97210
PORTLAND, OR 97210
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 Jessica Carroll's NPI number?
The NPI number for Jessica Carroll is 1750683058. It was assigned to this individual provider in the NPPES registry on November 19, 2010. The provider is also known as Jessica Marie Graham.
Where is Jessica Carroll located?
Jessica Carroll practices at 1015 NW 22nd Ave Anesthesia Dept, Portland, OR 97210. The listed phone number is (503) 413-7711.
What is Jessica Carroll's specialty?
The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.
Is Jessica Carroll enrolled in Medicare?
Yes. Jessica Carroll 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.
When was this NPI record last updated?
The NPPES record for Jessica Carroll was last updated on February 11, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.
# Jessica Graham Carroll, CRNA · NPI 1750683058
Nurse Anesthetist, Certified Registered physician in Portland, Oregon. Individual provider, active in the CMS NPPES registry since November 19, 2010.
## Identity
- **NPI:** 1750683058 (Entity type: Individual)
- **Enumerated:** November 19, 2010
- **Primary specialty:** Nurse Anesthetist, Certified Registered · taxonomy 367500000X
- **State license:** 201360007CRNA (Oregon)
- **Sole proprietor:** No
## Practice location
- **Address:** 1015 NW 22ND AVE, ANESTHESIA DEPT, Portland, OR 97210-3025
- **Phone:** (503) 413-7711
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Medical school:** Other, class of 2012
## Record status
- **NPPES last updated:** February 11, 2014
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Source: [NPI Profile](https://npiprofile.com/npi/1750683058) · Data from the CMS NPPES public registry.