Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Gwen C. Nesselbeck

Individual provider Certified Registered Nurse Anesthetist · NPI 1952672529

Gwen C. Nesselbeck is a Certified Registered Nurse Anesthetist (CRNA) in Portland, Oregon. Qualified in 2011, 15 years ago. Practices with University Anesthesiology Associates LLC, a 240-clinician group and accepts Medicare assignment. Licensed in Oregon.

Years since qualifying
15
Licensed in
OR
In the registry since
2012
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Practice location Address checks out

3181 SW Sam Jackson Park Rd
Portland, OR 97239-3011
Phone: (503) 494-4910
Fax: (503) 494-8368
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence 201260012CRNA (OR)

Record details

NPI number1952672529
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJanuary 13, 2012
Last updated in NPPESApril 7, 2020
Certification dateApril 7, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice University Anesthesiology Associates Llc — 240 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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