Miss Jolie Rosanne Dietzen, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Portland, OR

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Miss Jolie Rosanne Dietzen, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Portland, Oregon. She graduated from nursing school in 2019 and has 5 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). She is a member of the group practice Hospitalist Medicine Physicians Of Washington - Tcs, University Anesthesiology Associates Llc and her current practice location is 3181 Sw Sam Jackson Park Rd, Portland, Oregon. You can reach out to her office (for appointments etc.) via phone at (503) 494-7641.

Miss Jolie Rosanne Dietzen is licensed to practice in Oregon (license number 202000077CRNA) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1831618594.

Contact Information

Miss Jolie Rosanne Dietzen, CRNA
3181 Sw Sam Jackson Park Rd,
Portland, OR 97239-3011
(503) 494-7641
(503) 494-8368

Map and Direction




Provider's Profile

Full NameMiss Jolie Rosanne Dietzen
GenderFemale
SpecialityCertified Registered Nurse Anesthetist (crna)
Experience5 Years
Location3181 Sw Sam Jackson Park Rd, Portland, Oregon
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Miss Jolie Rosanne Dietzen graduated from nursing school in 2019
  NPI Data:
  • NPI Number: 1831618594
  • Provider Enumeration Date: 09/14/2017
  • Last Update Date: 03/13/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 6709213408
  • Enrollment ID: I20200218002726

Medical Identifiers

Medical identifiers for Miss Jolie Rosanne Dietzen such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1831618594NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163W00000XRegistered Nurse 201703087RN (Oregon)Secondary
367500000XNurse Anesthetist, Certified Registered 202000077CRNA (Oregon)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Ohsu Hospital And ClinicsPortland, ORHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Hospitalist Medicine Physicians Of Washington - Tcs6800240102169
University Anesthesiology Associates Llc6901702869205

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Miss Jolie Rosanne Dietzen allows following entities to bill medicare on her behalf.
Entity NameUniversity Anesthesiology Associates Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1841217817
PECOS PAC ID: 6901702869
Enrollment ID: O20031210000967
Entity NameProvidence Health & Services Oregon
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1053862714
PECOS PAC ID: 7315856010
Enrollment ID: O20040304001330
Entity NameAnesthetic Solutions Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1477022259
PECOS PAC ID: 4587901129
Enrollment ID: O20190121001182
Entity NamePortland Adventist Medical Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1750091021
PECOS PAC ID: 3274908819
Enrollment ID: O20230412001327
Entity NameHospitalist Medicine Physicians Of Washington - Tcs
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1649816380
PECOS PAC ID: 6800240102
Enrollment ID: O20230920001616

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Miss Jolie Rosanne Dietzen is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Miss Jolie Rosanne Dietzen, CRNA
3181 Sw Sam Jackson Park Rd., Mail Code Sjh-2,
Portland, OR 97239-3011

Ph: (503) 494-4910		Miss Jolie Rosanne Dietzen, CRNA
3181 Sw Sam Jackson Park Rd,
Portland, OR 97239-3011

Ph: (503) 494-7641

Reviews and Comments


Nurse Anesthetist, Certified Registered Nurses in Portland, OR

Mr. Daniel Paul Addy, C.R.N.A.
Nurse Anesthetist - CR
Medicare: Not Enrolled in Medicare
Practice Location: 9205 Sw Barnes Rd, Portland, OR 97225
Phone: 503-216-1234    
Ms. Bonnie Helen O'hara, CRNA
Nurse Anesthetist - CR
Medicare: Not Enrolled in Medicare
Practice Location: Providence St. Vincent Medical Center, 9205 Sw Barnes Rd, Portland, OR 97225
Phone: 503-216-3321    
Amber Fromwiller, CRNA
Nurse Anesthetist - CR
Medicare: Medicare Enrolled
Practice Location: 3181 Sw Sam Jackson Park Rd, Portland, OR 97239
Phone: 503-494-8311    
Ms. Gwendolyn M Keyt, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 3181 Sw Sam Jackson Park Rd, Mailcode Uhs-2, Portland, OR 97239
Phone: 503-494-7641    Fax: 503-418-0884
Daniel Hainley,
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 3181 Sw Sam Jackson Park Rd, Portland, OR 97239
Phone: 503-494-7641    Fax: 503-494-4661
Dr. Dallas D. Regan, CRNA, DNP
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 3181 Sw Sam Jackson Park Rd, Portland, OR 97239
Phone: 503-494-7641    
Stephen John Yermal,
Nurse Anesthetist - CR
Medicare: Not Enrolled in Medicare
Practice Location: 1111 Ne 99th Ave, Suite 302, Portland, OR 97220
Phone: 503-963-2763    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.