Jesse I Broome, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Longview, WA

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Jesse I Broome, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Longview, Washington. He graduated from nursing school in 2013 and has 12 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice Cascadia Interventional Anesthesia and his current practice location is 1615 Delaware St, Longview, Washington. You can reach out to his office (for appointments etc.) via phone at (360) 414-2000.

Jesse I Broome is licensed to practice in Washington (license number AP60556936) 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 1528308558.

Contact Information

Jesse I Broome, CRNA
1615 Delaware St,
Longview, WA 98632-2367
(360) 414-2000
Not Available

Map and Direction




Provider's Profile

Full NameJesse I Broome
GenderMale
SpecialityCertified Registered Nurse Anesthetist (crna)
Experience12 Years
Location1615 Delaware St, Longview, Washington
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:
  • Jesse I Broome graduated from nursing school in 2013
  NPI Data:
  • NPI Number: 1528308558
  • Provider Enumeration Date: 02/28/2013
  • Last Update Date: 05/18/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 7315186871
  • Enrollment ID: I20150805008582

Medical Identifiers

Medical identifiers for Jesse I Broome such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1528308558NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367500000XNurse Anesthetist, Certified Registered 9310702 (Florida)Secondary
367500000XNurse Anesthetist, Certified Registered AP60556936 (Washington)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Columbia Memorial HospitalAstoria, ORHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Cascadia Interventional Anesthesia45871953913

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. Jesse I Broome allows following entities to bill medicare on his behalf.
Entity NamePeacehealth
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1134178999
PECOS PAC ID: 9739092065
Enrollment ID: O20031111000831
Entity NameColumbia Anesthesia Group P S
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1861448235
PECOS PAC ID: 8426954322
Enrollment ID: O20031211000035
Entity NamePeacehealth
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1720056187
PECOS PAC ID: 5890689293
Enrollment ID: O20040209000272
Entity NameLongview Anesthesiology Group, Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1003894957
PECOS PAC ID: 0749177756
Enrollment ID: O20040303001054
Entity NameCascadia Interventional Anesthesia
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1316791957
PECOS PAC ID: 4587195391
Enrollment ID: O20241003003770
Entity NameElysium Anesthesia Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1659181030
PECOS PAC ID: 5799214615
Enrollment ID: O20250122002302

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. Jesse I Broome 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
Jesse I Broome, CRNA
Po Box 5157,
Vancouver, WA 98668-5157

Ph: (360) 828-5396		Jesse I Broome, CRNA
1615 Delaware St,
Longview, WA 98632-2367

Ph: (360) 414-2000

Reviews and Comments


Nurse Anesthetist, Certified Registered Nurses in Longview, WA

Peter J Leyzac, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 1615 Delaware St, Longview, WA 98632
Phone: 360-414-2000    
Brock J Amos, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 1615 Delaware St, Longview, WA 98632
Phone: 360-414-2000    Fax: 360-414-7638
Lee Bendickson, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 1615 Delaware St, Longview, WA 98632
Phone: 360-414-2000    Fax: 360-414-7638
Shane B Merrill, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 625 9th Ave, Longview, WA 98632
Phone: 360-442-7900    
Megan Marie Schill, DNAP, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 1615 Delaware St, Longview, WA 98632
Phone: 360-414-2000    Fax: 360-414-7638
Edgar Foisy, CRNA
Nurse Anesthetist - CR
Medicare: Medicare Enrolled
Practice Location: 1615 Delaware St, Longview, WA 98632
Phone: 360-414-2000    

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.