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JONATHAN N ROTH CRNA
NPI 1962839654
Nurse Anesthetist, Certified Registered in Milwaukie, OR

Active since September 26, 2013
10150 SE 32ND AVE, MILWAUKIE, OR 97222(503) 513-8318 Get Directions Write a Review

NPPES record last updated: September 26, 2013. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Jonathan N Roth Crna NPPES

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

JONATHAN N ROTH CRNA (NPI 1962839654) is an individual nurse anesthetist, certified registered in Milwaukie, Oregon, licensed in Oregon (200742985RN) and active in the NPI registry since September 2013.

NPPES Registry Identity

NPI1962839654
Entity TypeIndividualMale
Primary Taxonomy367500000X
Provider Legal NameJONATHAN N ROTHCredential: CRNA
Location Address10150 SE 32ND AVEMilwaukie, OR 97222-6516
Mailing Address13974 Se Red Sunset AveClackamas, OR 97015-5359
Phone(503) 513-8318
Sole ProprietorNo
Enumeration DateSeptember 26, 2013
✔ NPI 1962839654 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 OR · 200742985RN
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.
10150 SE 32ND AVE, Milwaukie, OR 97222
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc..Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jonathan N Roth Crna is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignments

2

Medicare enrollment records show Jonathan Roth reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Anesthesia Associates Northwest LLC
Same address
Anesthesiology
10150 SE 32ND AVE
Milwaukie, OR 97222
  • Reassigned Medicare billing, Oregon enrollment
  • 183 clinicians in this Medicare group
NPI 1548281751 (503) 513-8300
Oregon Pain Management LLC
39 mi
Anesthesiology
2480 LIBERTY ST NE STE 180
Salem, OR 97301
  • Reassigned Medicare billing, Oregon enrollment
  • 25 clinicians in this Medicare group
NPI 1679936579 (503) 881-9459

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 3

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.

Anesthesia for other procedure on large bowel using an endoscope 00811
Anesthesia for an endoscopic procedure on the large bowel ensures comfort and relaxation during the procedure. You'll be given medication to make you drowsy or asleep, eliminating any discomfort. The medication can be administered through a vein or inhaled.
35 services35 patients
Anesthesia for exam of colon using an endoscope 00812
Anesthesia for a colon examination with an endoscope is a method used to ensure comfort during the procedure. It involves administering medication to help you relax or sleep, thus reducing discomfort as the endoscope, a thin, flexible tube, is navigated through your colon.
25 services25 patients
Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope 00731
This procedure involves the use of an endoscope, a flexible tube with a light and camera, to examine your esophagus, stomach, or upper small bowel. Anesthesia ensures you are comfortable and pain-free during the procedure.
18 services18 patients

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.

JONATHAN HATTENHAUER D.O.
Internal Medicine (Gastroenterology)
10150 SE 32ND AVE
MILWAUKIE, OR 97222
Clackamas County (503) 215-5895
JANINE TRACY VANSANT MD
Internal Medicine
10150 SE 32ND AVE
MILWAUKIE, OR 97222
Clackamas County (503) 513-8641
DR. JAMES EDWARD MARAS M.D.
Emergency Medicine
10150 SE 32ND AVE
MILWAUKIE, OR 97222
Clackamas County (503) 297-6334
STEVEN J REDMOND MD
Hospitalist
10150 SE 32ND AVE
MILWAUKIE, OR 97222
Clackamas County (503) 513-8695
CHAD BYARS M.D.
Emergency Medicine
10150 SE 32ND AVE
PORTLAND, OR 97222
Clackamas County (503) 513-1031
DR. MARK N. ROBERTS D.O.
Emergency Medicine
10150 SE 32ND AVE
MILWAUKIE, OR 97222
Clackamas County (503) 297-6334
PROVIDENCE MILWAUKIE HOSPITAL
General Acute Care Hospital
10150 SE 32ND AVE
MILWAUKIE, OR 97222
Clackamas County (503) 513-8338
DR. PAUL VINCENT SKILES M.D.
Emergency Medicine
10150 SE 32ND AVE
MILWAUKIE, OR 97222
Clackamas County (503) 297-6334

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 Jonathan Roth's NPI number?

The NPI number for Jonathan Roth is 1962839654. It was assigned to this individual provider in the NPPES registry on September 26, 2013.

Where is Jonathan Roth located?

Jonathan Roth practices at 10150 SE 32nd Ave, Milwaukie, OR 97222. The listed phone number is (503) 513-8318.

What is Jonathan Roth's specialty?

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

Is Jonathan Roth enrolled in Medicare?

Yes. Jonathan Roth is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Jonathan Roth's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jonathan Roth reassigns Medicare benefits to 2 organizations: Anesthesia Associates Northwest LLC (Milwaukie, OR) and Oregon Pain Management LLC (Salem, OR). 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 Jonathan Roth's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jonathan Roth accept?

Health plans from Moda Health Plan, Inc. list Jonathan Roth 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 Jonathan Roth was last updated on September 26, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.