AMBER LYNN PEDERSON CRNA
NPI 1851549679
Nurse Anesthetist, Certified Registered in Pendleton, OR

Q: What is Amber Pederson's NPI number?

The NPI number for Amber Pederson is 1851549679. It was assigned to this individual provider in the NPPES registry on September 4, 2008. The provider is also known as Amber Lynn Boles Crna.

Q: What is Amber Pederson's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Amber Pederson was last updated on October 13, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.

Active since September 04, 2008Accepts Medicare Assignment

2801 ST ANTHONY WAY, PENDLETON, OR 97801(541) 276-5121 Get Directions Write a Review

NPPES record last updated: October 13, 2014. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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About Amber Lynn Pederson Crna NPPES

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

AMBER LYNN PEDERSON CRNA (NPI 1851549679) is an individual nurse anesthetist, certified registered in Pendleton, Oregon, licensed in Minnesota (R1724725) and active in the NPI registry since September 2008. She is affiliated with St Anthony Hospital and is a graduate of Other (2008).

NPPES Registry Identity

NPI1851549679

Entity TypeIndividualFemale

Primary Taxonomy367500000X

Provider Legal NameAMBER LYNN PEDERSONCredential: CRNA

Location Address2801 ST ANTHONY WAYPendleton, OR 97801

Mailing Address2801 St Anthony WayPendleton, OR 97801-3800 · (541) 276-5121

Phone(541) 276-5121

Sole ProprietorNo

Medical School CMSOtherGraduated 2008

Enumeration DateSeptember 4, 2008

Last NPPES UpdateOctober 13, 2014

✔ NPI 1851549679 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 MN · R1724725

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.

2801 ST ANTHONY WAY, Pendleton, OR 97801

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Other Names 1

Former Name (1)Amber Lynn Boles Crna

Other Identifiers 1

Medicare PINR174345OR

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica.Insurance ›

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

Amber Lynn Pederson 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.

PECOS PAC ID2860554680

PECOS Enrollment IDI20140423002530

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

St Anthony Hospital

Critical Access Hospitals · Pendleton, OR

3/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number381319

Location2801 St Anthony WayPendleton, OR 97801 · Umatilla County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97801 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

$126.25 typical visit price

range $54.96 – $166.64

Typical copayment $31.56 (range $13.74 – $41.66)

Most-billed visit code 99204

Established Patient

$68.64 typical visit price

range $17.68 – $136.19

Typical copayment $17.16 (range $4.42 – $34.04)

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 18

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ESTHER MICU FUNTANILLA PT

Physical Therapist