Doctor profile · Federal record
Dr. MIKELLE ADAMCZYK, CRNA
Certified Registered Nurse Anesthetist (CMS: CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)) · Certified Registered Nurse Anesthetist · PORTLAND, OR
- NPI 1053580936
- Accepts Medicare
- 10 yrs in practice
- Licensed in 2 states
- Female
- Group practice
- No sanctions
Practice & contact
Operates at 2 locations .
- Primary practice
-
3181 SW SAM JACKSON PARK RD
PORTLAND, OR 972393011
(503) 494-7641
fax (503) 494-4661 - Additional location
-
16001 W 9 Mile Rd
Southfield, MI 480754818
(248) 849-5806
fax (248) 849-5489
Credentials & registration
- NPI registered
- February 2008 — 18 yrs on file
- Profile last updated
- June 18, 2025
- Year of graduation
- 2016 — 10 yrs since
- Specialty taxonomy
- 367500000X — NUCC code
- State licenses (2)
- Oregon #201900978CRNA · Michigan #4704217848
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1053580936. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
22
Distinct HCPCS
1
Medicare allowed
$2,916
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
00811 |
Anesthesia for other procedure on large bowel using an endoscope | 22 | 22 | $133 |
In context: peer comparison
Among 26 peers in this city , average services per provider: 27. This provider delivers 0.8× the peer median.