Doctor profile · Federal record
Dr. JOLIE DIETZEN, CRNA
Certified Registered Nurse Anesthetist (CMS: CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)) · Registered Nurse · PORTLAND, OR
- NPI 1831618594
- Accepts Medicare
- MIPS 94.9 / 100 · 2023
- 7 yrs in practice
- Female
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
3181 SW SAM JACKSON PARK RD
PORTLAND, OR 972393011
(503) 494-7641
fax (503) 494-8368 - Mailing address
-
3181 SW SAM JACKSON PARK RD., MAIL CODE SJH-2
PORTLAND, OR 972393011
Credentials & registration
- NPI registered
- September 2017 — 9 yrs on file
- Profile last updated
- March 13, 2020
- Year of graduation
- 2019 — 7 yrs since
- Specialty taxonomy
- 367500000X — NUCC code
- State licenses (2)
- Oregon #202000077CRNA · Oregon #201703087RN
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1831618594. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
49
Distinct HCPCS
1
Medicare allowed
$5,492
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
00142 |
Anesthesia for lens surgery | 49 | 48 | $112 |
In context: peer comparison
Among 26 peers in this city , average services per provider: 27. This provider delivers 1.8× the peer median.