Tyson Summers, CRNA - Medicare Nurse Anesthetist, Certified Registered in Salem, OR

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Tyson Summers, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Salem, Oregon. His current practice location is 3099 River Rd S # 100, Salem, Oregon. You can reach out to his office (for appointments etc.) via phone at (503) 758-0892.

Tyson Summers is licensed to practice in Oregon (license number 201392028CRNA) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1679907323.

Contact Information

Tyson Summers, CRNA
3099 River Rd S # 100,
Salem, OR 97302-9754
(503) 758-0892
Not Available

Map and Direction




Provider's Profile

Full NameTyson Summers
GenderMale
SpecialityNurse Anesthetist, Certified Registered
Location3099 River Rd S # 100, Salem, Oregon
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1679907323
  • Provider Enumeration Date: 08/29/2013
  • Last Update Date: 11/10/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 2466687835
  • Enrollment ID: I20131021001993

Medical Identifiers

Medical identifiers for Tyson Summers such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1679907323NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367500000XNurse Anesthetist, Certified Registered 201392028CRNA (Oregon)Primary

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. Tyson Summers allows following entities to bill medicare on his behalf.
Entity NameKaiser Foundation Health Plan Of The Northwest
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1184786527
PECOS PAC ID: 5799688230
Enrollment ID: O20040130000799
Entity NameSalem Health West Valley
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1245237486
PECOS PAC ID: 7810804630
Enrollment ID: O20040225000830
Entity NameMetropolitan Anesthesia Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1720387954
PECOS PAC ID: 2860662996
Enrollment ID: O20110829000644
Entity NameComplete Anesthesia Care Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1932464492
PECOS PAC ID: 7214187210
Enrollment ID: O20121029000661
Entity NameNoble Dreams Anesthesia Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1750889804
PECOS PAC ID: 5698036945
Enrollment ID: O20180228002482
Entity NameAnesthetic Solutions Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1477022259
PECOS PAC ID: 4587901129
Enrollment ID: O20190121001182
Entity NameSomnus Anesthesia Northwest
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1912737719
PECOS PAC ID: 0446782908
Enrollment ID: O20241022002956

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. Tyson Summers 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
Tyson Summers, CRNA
3473 Maci Elle Ct Se,
Salem, OR 97302-2797

Ph: (865) 384-6465		Tyson Summers, CRNA
3099 River Rd S # 100,
Salem, OR 97302-9754

Ph: (503) 758-0892

Reviews and Comments


Nurse Anesthetist, Certified Registered Nurses in Salem, OR

Samantha Medkiff, CRNA
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Medicare: Accepting Medicare Assignments
Practice Location: 875 Oak St Se Ste 3095, Salem, OR 97301
Phone: 503-561-8170    
Laura Geiger,
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 890 Oak St Se, Salem, OR 97301
Phone: 503-561-5200    
David Allen Kallberg, CRNA
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Medicare: Accepting Medicare Assignments
Practice Location: 3099 River Rd S # 100, Salem, OR 97302
Phone: 503-361-3094    
Todd Louis Hixson, RN, BSN, SRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 630 Waldo Ave Se, Salem, OR 97302
Phone: 503-763-2469    
Jeffrey Lockwood, RN/CRNA
Nurse Anesthetist - CR
Medicare: Not Enrolled in Medicare
Practice Location: 1330 Commercial St Se, Salem, OR 97302
Phone: 503-763-1973    Fax: 503-763-8886
Ms. Stefany Mcmullen, CRNA
Nurse Anesthetist - CR
Medicare: Medicare Enrolled
Practice Location: 5230 Eola Dr Nw, Salem, OR 97304
Phone: 661-699-4532    

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.