Kerry Lynne Kreidel, M.D.

NPI 1639351893ActiveIndividual· Anesthesiology· Corvallis, OR

Anesthesiology (M.D.) with Boulder Valley Anesthesiology, PLLC, practicing in Corvallis, Oregon. Medicare paid $19,123 for services to 106 patients in 2024. Lists Boulder Community Health as a hospital affiliation.

Overview

NPI	1639351893
Status	Active
Entity type	Individual
Credential	M.D.
Sole proprietor	No
NPI issued	Nov 29, 2007
Last updated in NPPES	Jul 24, 2023
Certified by provider	Jul 24, 2023

Specialties and licenses

Taxonomy	Code	License	State
Anesthesiology Primary	207L00000X	R0051	TX
Anesthesiology	207L00000X	DR.0070496	CO
Anesthesiology	207L00000X	21926	NV
Anesthesiology	207L00000X	44732	AZ
Anesthesiology	207L00000X	MD216184	OR

About license numbers in NPPES

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 - Anesthesiology (CO); Practitioner - Anesthesiology (TX); Practitioner - Anesthesiology (VI)
Accepts assignment	Yes (participating)