JODI MOONBEAM OLDFATHER CRNA
NPI 1942572409
Nurse Anesthetist, Certified Registered in Oakland, CA
About Jodi Moonbeam Oldfather Crna NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JODI MOONBEAM OLDFATHER CRNA (NPI 1942572409) is an individual nurse anesthetist, certified registered in Oakland, California, licensed in California (4160) and active in the NPI registry since January 2012. She is enrolled in Medicare PECOS and is a graduate of Other (2011).
NPPES Registry Identity
Specialties & Licenses
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
Jodi Moonbeam Oldfather 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.
Medicare Billing Reassignments
3Medicare enrollment records show Jodi Oldfather reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Richmond, CA 94801
- Reassigned Medicare billing, California enrollment
- 20,078 clinicians in this Medicare group
Hilo, HI 96720
- Reassigned Medicare billing, Hawaii enrollment
- 2 clinicians in this Medicare group
Kailua Kona, HI 96740
- Reassigned Medicare billing, Hawaii enrollment
- 7 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 94611 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.
OAKLAND, CA 94611
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 Jodi Oldfather's NPI number?
The NPI number for Jodi Oldfather is 1942572409. It was assigned to this individual provider in the NPPES registry on January 31, 2012.
Where is Jodi Oldfather located?
Jodi Oldfather practices at 280 W Macarthur Blvd, Oakland, CA 94611. The listed phone number is (510) 752-1000.
What is Jodi Oldfather's specialty?
The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.
Is Jodi Oldfather enrolled in Medicare?
Yes. Jodi Oldfather 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 Jodi Oldfather's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jodi Oldfather reassigns Medicare benefits to 3 organizations: Permanente Medical Group Inc (Richmond, CA), Jodi Oldfather, Crna LLC (Hilo, HI) and Assurant Anesthesia Associates Inc (Kailua Kona, HI). 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 Jodi Oldfather's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Jodi Oldfather accept?
Health plans from HMSA list Jodi Oldfather 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.
When was this NPI record last updated?
The NPPES record for Jodi Oldfather was last updated on January 3, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Jodi Moonbeam Oldfather, CRNA · NPI 1942572409
Nurse Anesthetist, Certified Registered physician in Oakland, California. Individual provider, active in the CMS NPPES registry since January 31, 2012.
## Identity
- **NPI:** 1942572409 (Entity type: Individual)
- **Enumerated:** January 31, 2012
- **Primary specialty:** Nurse Anesthetist, Certified Registered · taxonomy 367500000X
- **State license:** 4160 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 280 W MACARTHUR BLVD, Oakland, CA 94611-5642
- **Phone:** (510) 752-1000
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Permanente Medical Group Inc (NPI 1235226531, Richmond, CA); Jodi Oldfather, Crna LLC (NPI 1063307080, Hilo, HI); Assurant Anesthesia Associates Inc (NPI 1972215358, Kailua Kona, HI) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2011
## Record status
- **NPPES last updated:** January 3, 2022
---
Source: [NPI Profile](https://npiprofile.com/npi/1942572409) · Data from the CMS NPPES public registry.