Active NPI
Jason Andrew Riley, CRNA
- Certified Registered Nurse Anesthetist
- Grand Rapids, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 4704296152
- Practice address
- 1840 Wealthy St SE
Grand Rapids, MI 49506-2921 - Phone
- (616) 774-7870
- NPI assigned
- Jul 7, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 4704296152 | MI | Primary |
Addresses
Primary practice location
1840 Wealthy St SE
Grand Rapids, MI 49506-2921
Mailing address
100 Michigan St NE
Grand Rapids, MI 49503-2560
Phone (734) 223-4986
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| FHIR URL | https://epicarr02.spectrumhealth.org/EpicFHIR/api/FHIR/R4/ | ||
| Direct Messaging Address | jriley297212@epic00.corewelldirect.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1840 Wealthy St SE
Corewell Health Medical Group West
Grand Rapids, MI 49506-2921
Phone (616) 885-5000
300 N Patterson Rd
Reed City, MI 49677-8041
Phone (231) 832-7140
4069 Lake Dr SE
Grand Rapids, MI 49546-8816
4444 Kalamazoo Ave SE
200 Corewell Health Medical Group West
Kentwood, MI 49508-4600
Phone (616) 391-5600
7276 Huron Ave
Lexington, MI 48450-8324
Phone (512) 593-1945
Hospital & facility affiliations
- Spectrum Health
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4704296152 | MI | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Spectrum Health Primary Care Partners | Current | Accepting new patients | |
| Spectrum Health Primary Care Partners | Current | Accepting new patients | |
| Kalamazoo Anesthesiology P C | Current | Accepting new patients | |
| Celebrity Anesthesia Staffing LLC | Current | Accepting new patients | |
| West Michigan Anesthesia, PC | Past | Accepting new patients | |
| Sheridan Community Hospital | Past | Accepting new patients |
Locations
917 W Washington Blvd
Chicago, IL 60607
Phone (312) 248-3655
1840 Wealthy St SE
Grand Rapids, MI 49506
Phone (616) 391-1730
1179 East Paris Ave SE
Ste E200
Grand Rapids, MI 49546
Phone (616) 975-9100
100 Michigan St NE
Grand Rapids, MI 49503
Phone (616) 391-1680
1009 W Green St
Hastings, MI 49058
Phone (269) 945-1212
900 Peeler St
Kalamazoo, MI 49008
Phone (269) 345-8618
4444 Kalamazoo Ave SE
Ste 200
Kentwood, MI 49508
Phone (616) 391-5600
301 N Main St
Sheridan, MI 48884
Phone (989) 291-3261
5900 Byron Center Ave SW
Wyoming, MI 49519
Phone (616) 252-3243
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Anesthesiology Physician
- Grand Rapids, MI
- NPI 1235728403
-
- Internal Medicine Physician
- Grand Rapids, MI
- NPI 1235188673
-
- Anesthesiology Physician
- Kalamazoo, MI
- NPI 1407821796
-
- Internal Medicine Physician
- Grand Rapids, MI
- NPI 1689499667
-
- Emergency Medicine Physician
- Sheridan, MI
- NPI 1528090594
-
- Anesthesiology Physician
- Grand Rapids, MI
- NPI 1225016926
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Hastings, MI
- NPI 1932695525
-
- General Acute Care Hospital
- Grand Rapids, MI
- NPI 1922090554
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1625616000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1767571200000",
"number": "1043881329",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 MICHIGAN ST NE",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495032560",
"telephone_number": "734-223-4986"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1840 WEALTHY ST SE",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495062921",
"telephone_number": "616-774-7870"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RILEY",
"first_name": "JASON",
"middle_name": "ANDREW",
"name_prefix": "Mr.",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-07-07",
"last_updated": "2026-01-05",
"certification_date": "2026-01-05",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "MI",
"license": "4704296152",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://epicarr02.spectrumhealth.org/EpicFHIR/api/FHIR/R4/",
"affiliation": "N",
"address_1": "1840 Wealthy St SE",
"city": "Grand Rapids",
"state": "MI",
"country_code": "US",
"postal_code": "495062921",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jriley297212@epic00.corewelldirect.org",
"affiliation": "N",
"address_1": "1840 Wealthy St SE",
"city": "Grand Rapids",
"state": "MI",
"country_code": "US",
"postal_code": "495062921",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Grand Rapids, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.