Jacob David Sandefur, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in La Grande, OR

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Jacob David Sandefur, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in La Grande, Oregon. He graduated from nursing school in 2022 and has 3 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice Evergreen Anesthesia Associates Llc, Animas Surgical Hospital Llc and his current practice location is 900 Sunset Dr, La Grande, Oregon. You can reach out to his office (for appointments etc.) via phone at (541) 963-8421.

Jacob David Sandefur is licensed to practice in Oregon (license number 202214569CRNAPP) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1770212417.

Contact Information

Jacob David Sandefur, CRNA
900 Sunset Dr,
La Grande, OR 97850-1387
(541) 963-8421
Not Available

Map and Direction




Provider's Profile

Full NameJacob David Sandefur
GenderMale
SpecialityCertified Registered Nurse Anesthetist (crna)
Experience3 Years
Location900 Sunset Dr, La Grande, Oregon
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Jacob David Sandefur graduated from nursing school in 2022
  NPI Data:
  • NPI Number: 1770212417
  • Provider Enumeration Date: 06/08/2022
  • Last Update Date: 09/23/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 8426425588
  • Enrollment ID: I20231030001695

Medical Identifiers

Medical identifiers for Jacob David Sandefur such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1770212417NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163W00000XRegistered Nurse 239503 (Tennessee)Secondary
367500000XNurse Anesthetist, Certified Registered 202214569CRNAPP (Oregon)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Kittitas Valley Community HospitalEllensburg, WAHospital
Animas Surgical Hospital, LlcDurango, COHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Evergreen Anesthesia Associates Llc711328453023
Animas Surgical Hospital Llc014329542852

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. Jacob David Sandefur allows following entities to bill medicare on his behalf.
Entity NameEvergreen Anesthesia Associates Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1225575996
PECOS PAC ID: 7113284530
Enrollment ID: O20171120002054

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. Jacob David Sandefur 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
Jacob David Sandefur, CRNA
2302 E N Ct,
La Grande, OR 97850-3858

Ph: (541) 519-0890		Jacob David Sandefur, CRNA
900 Sunset Dr,
La Grande, OR 97850-1387

Ph: (541) 963-8421

Reviews and Comments


Nurse Anesthetist, Certified Registered Nurses in La Grande, OR

Zachary Michael Jacobsen, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 900 Sunset Dr, La Grande, OR 97850
Phone: 541-963-8421    
Bradley Robert Close, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 900 Sunset Dr, La Grande, OR 97850
Phone: 541-963-8421    Fax: 541-963-1476
Sheridan D Klinger, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 900 Sunset Dr, La Grande, OR 97850
Phone: 541-963-1401    Fax: 541-963-1502

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.