Jae Min Jung
NPI 1104598598ActiveIndividual· Nurse Anesthetist, Certified Registered· Clackamas, OR
Nurse Anesthetist, Certified Registered with Medstream Anesthesia PLLC and 2 other groups, practicing in Clackamas, Oregon. Medicare paid $22,495 for services to 103 patients in 2024. Lists Good Shepherd Medical Center and 3 other hospitals as hospital affiliations.
Overview
| NPI | 1104598598 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | No |
| NPI issued | Oct 4, 2021 |
| Last updated in NPPES | Jun 8, 2026 |
| Certified by provider | Jun 8, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Anesthetist, Certified Registered Primary | 367500000X | 10018660 | OR |
| Registered Nurse | 163W00000X | 10018660 | OR |
| Nurse Anesthetist, Certified Registered | 367500000X | 324901 | AZ |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Certified Registered Nurse Anesthetist (CRNA) (NH); Practitioner - Certified Registered Nurse Anesthetist (CRNA) (OR); Practitioner - Certified Registered Nurse Anesthetist (CRNA) (WA); Practitioner - Certified Registered Nurse Anesthetist (CRNA) (WI) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 103 |
|---|---|
| Services billed | 114 across 48 procedure codes |
| Paid by Medicare | $22,495 |
Education and affiliations
| Graduation year | 2021 |
|---|---|
| Medicare specialty | Certified Registered Nurse Anesthetist (Crna) |
Medical groups
- Medstream Anesthesia PLLCOttumwa, IA · 573 clinicians
- Good Shepherd Health Care SystemHermiston, OR · 136 clinicians
- Grande Ronde Hospital IncLa Grande, OR · 97 clinicians
Hospital affiliations
- Good Shepherd Medical CenterHermiston, OR
- Grande Ronde HospitalLa Grande, OR
- Northwest Medical CenterTucson, AZ
- Trios HealthKennewick, WA
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 96 nurse anesthetists in Clackamas · All nurse anesthetists in Oregon