Individual provider Active NPI

Jennifer Lynn Havenstein, CRNA, MS

  • Certified Registered Nurse Anesthetist
  • Palm Beach Gardens, FL
National Provider Identifier
1053515601
Registry record updated Mar 31, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
APRN9473314 Issued in FL
Practice address
7103 Fairway Dr
Palm Beach Gardens, FL 33418-3701
Phone
(561) 515-1500
Fax
(561) 515-1513
NPI assigned
Jun 14, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 31, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 4704191640 MI
Certified Registered Nurse Anesthetist 367500000X APRN9473314 FL Primary

Addresses

Primary practice location

7103 Fairway Dr
Palm Beach Gardens, FL 33418-3701

Mailing address

7103 Fairway Dr
Palm Beach Gardens, FL 33418-3701
Phone (561) 515-1500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, FL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20070910000192 MI Practitioner - Certified Registered Nurse Anesthetist (Crna) 4082707989 Reassigns benefits to 2 organizations
I20190117001032 FL Practitioner - Certified Registered Nurse Anesthetist (Crna) 4082707989 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sheridan Healthcorp IncGroup PAC ID 3173429693, 956 clinicians
University of MiamiGroup PAC ID 3274795109, 2,346 clinicians

Practice addresses (Care Compare)

2815 S Seacrest Blvd
Boynton Beach, FL 33435-7969
Phone (561) 737-7733

7103 Fairway Dr
Palm Beach Gardens, FL 33418-3701
Phone (305) 585-6970

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse, Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
Sheridan Healthcorp Inc Nurse Anesthetist, Certified Registered Current Accepting new patients
Henry Ford Wyandotte Hospital Nurse Anesthetist, Certified Registered CurrentSince Jan 19, 2011 Accepting new patients
University of Miami Current Accepting new patients
Henry Ford Wyandotte Hospital CurrentSince Jan 19, 2011 Accepting new patients
University of Miami CurrentSince Apr 1, 2021 Accepting new patients
University of Miami CurrentSince Apr 1, 2021 Accepting new patients
Metropolitan Anesthesia Consultants, PLLC CurrentSince May 1, 2023 Accepting new patients
Sheridan Healthcorp Inc Nurse Anesthetist, Certified Registered CurrentSince May 1, 2025 Accepting new patients
Metropolitan Anesthesia Consultants, PLLC CurrentSince May 1, 2023 Accepting new patients
St Joseph Mercy Hospital Nurse Anesthetist, Certified Registered Past Accepting new patients
St. Joseph Mercy Hospital Crna Group Nurse Anesthetist, Certified Registered Past Accepting new patients
Saint Joseph Mercy Livingston Hospital Nurse Anesthetist, Certified Registered Past Accepting new patients
Northstar Anesthesia of Michigan II PC Nurse Anesthetist, Certified Registered Past Accepting new patients

Locations

2815 S Seacrest Blvd
Boynton Beach, FL 33435
Phone (561) 732-1277

4800 NE 20th Ter
Ste 201
Ft Lauderdale, FL 33308
Phone (305) 892-4000

1611 NW 12th Ave
Miami, FL 33136
Phone (305) 585-6226

7103 Fairway Dr
Palm Beach Gardens, FL 33418
Phone (561) 355-8505

14050 Toledo Dix Rd
Southgate, MI 48195
Phone (734) 281-0100

2333 Biddle Ave
Wyandotte, MI 48192
Phone (734) 246-6000

Networks

  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: jhavenstein88051@direct.med.miami.edu
  • Direct secure messaging: jhavenstein207260@direct.hfhs.org

Organizations & group practices 14

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.

View all 14

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1181779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617148800000",
    "number": "1053515601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7103 FAIRWAY DR",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334183701",
            "telephone_number": "561-515-1500",
            "fax_number": "561-515-1513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7103 FAIRWAY DR",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334183701",
            "telephone_number": "561-515-1500",
            "fax_number": "561-515-1513"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAVENSTEIN",
        "first_name": "JENNIFER",
        "middle_name": "LYNN",
        "credential": "CRNA, MS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-14",
        "last_updated": "2021-03-31",
        "certification_date": "2021-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MI",
            "license": "4704191640",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "FL",
            "license": "APRN9473314",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Beach Gardens, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2021; 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.

Verify at the official NPI Registry.