Individual provider Active NPI

Jonathan P Gunsberg, CRNA

  • Certified Registered Nurse Anesthetist
  • Traverse City, MI
National Provider Identifier
1073865788
Registry record updated Oct 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
4704253836 Issued in MI
Practice address
4100 Park Forest Dr
Suite 210
Traverse City, MI 49684-7331
Phone
(231) 935-5770
Fax
(231) 935-0747
NPI assigned
Oct 4, 2012
Last updated
Oct 9, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 4704253836 MI Primary

Addresses

Primary practice location

4100 Park Forest Dr
Suite 210
Traverse City, MI 49684-7331

Mailing address

4100 Park Forest Dr
Suite 210
Traverse City, MI 49684-7331
Phone (231) 935-5770

Other practice location 1

400 Hobart St
Cadillac, MI 49601-2331
Phone (231) 876-2644

Other identifiers 1

IdentifierTypeStateIssuer
1073865788MedicaidMI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130206000349 MI Practitioner - Certified Registered Nurse Anesthetist (Crna) 6901050541 Reassigns benefits to 12 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Munson Healthcare CadillacGroup PAC ID 6305161514, 104 clinicians
Monaco Management LLCGroup PAC ID 9739577461, 37 clinicians

Practice addresses (Care Compare)

15100 Whittaker Way
Grand Haven, MI 49417-8696
Phone (616) 772-4644

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

400 Hobart St
Cadillac, MI 49601-2331
Phone (231) 876-3876

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

4851 E Pickard St
Mt. Pleasant Surgery Center
Mount Pleasant, MI 48859-2078
Phone (213) 499-1159

605 Oak St
Big Rapids, MI 49307-2048
Phone (231) 592-4270

615 S Bower St
Greenville, MI 48838-2614
Phone (616) 225-6522

825 N Ctr Ave
Gaylord, MI 49735-1592
Phone (989) 731-2201

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Sparrow Eaton Hospital Current Accepting new patients
Sparrow Eaton Hospital CurrentSince Feb 1, 2022 Accepting new patients
Sparrow Carson Hospital CurrentSince Jun 1, 2022 Accepting new patients
Sparrow Eaton Hospital Nurse Anesthetist, Certified Registered CurrentSince Feb 1, 2022 Accepting new patients
Spectrum Health Primary Care Partners Current Accepting new patients
Edward W Sparrow Hospital Association CurrentSince Sep 2, 2019 Accepting new patients
Edward W. Sparrow Hospital Association Nurse Anesthetist, Certified Registered CurrentSince Sep 2, 2019 Accepting new patients
Munson Healthcare Otsego Memorial Hospital Nurse Anesthetist, Certified Registered CurrentSince Apr 22, 2023 Accepting new patients
Sparrow Carson Hospital Nurse Anesthetist, Certified Registered CurrentSince Jun 1, 2022 Accepting new patients
Northern Anesthesia Providers PC CurrentSince Mar 1, 2024 Accepting new patients
Munson Healthcare Otsego Memorial Hospital Current Accepting new patients
Monaco Management, LLC Nurse Anesthetist, Certified Registered CurrentSince Jul 19, 2021 Accepting new patients
Sparrow Carson Hospital Current Accepting new patients
Anesthesia Associates of Ann Arbor, PLLC Nurse Anesthetist, Certified Registered CurrentSince Jun 20, 2025 Accepting new patients
Spectrum Health Primary Care Partners CurrentSince Nov 24, 2025 Accepting new patients
Grayling Anesthesia Associates PC Nurse Anesthetist, Certified Registered CurrentSince Sep 15, 2020 Accepting new patients
Munson Healthcare Cadillac CurrentSince Oct 1, 2019 Accepting new patients
Munson Healthcare Otsego Memorial Hospital CurrentSince Apr 22, 2023 Accepting new patients
Munson Healthcare Otsego Memorial Hospital Current Accepting new patients
Munson Healthcare Cadillac Nurse Anesthetist, Certified Registered CurrentSince Oct 1, 2019 Accepting new patients
Sparrow Eaton Hospital CurrentSince Nov 23, 2025 Accepting new patients

Locations

3775 Momentum Pl
Chicago, IL 60689

8175 Reliable Pkwy
Chicago, IL 60686

300 E Warwick Dr
Alma, MI 48801
Phone (989) 463-0104

2006 Hogback Rd
Ste 5
Ann Arbor, MI 48105
Phone (313) 712-4331

400 Hobart St
Cadillac, MI 49601
Phone (231) 876-7200

406 E Elm St
Carson City, MI 48811
Phone (517) 584-3131

111 Lansing St
Ste 110
Charlotte, MI 48813
Phone (517) 541-5855

321 E Harris St
Charlotte, MI 48813
Phone (517) 541-5840

6886 Sashabaw Rd
Clarkston, MI 48348
Phone (248) 225-2727

825 N Center Ave
Gaylord, MI 49735
Phone (989) 731-2100

829 N Center Ave
Ste 210
Gaylord, MI 49735
Phone (989) 731-7860

1100 E Michigan Ave
Grayling, MI 49738
Phone (989) 348-0317

620 Byron Rd
Howell, MI 48843
Phone (517) 545-5450

4444 Kalamazoo Ave SE
Ste 200
Kentwood, MI 49508
Phone (616) 391-5600

80 68th St SE
Kentwood, MI 49548
Phone (616) 391-8220

1215 E Michigan Ave
Lansing, MI 48912
Phone (517) 336-8080

4851 E Pickard St
Mt Pleasant, MI 48858
Phone (989) 772-3009

416 Connable Ave
Petoskey, MI 49770
Phone (231) 487-4000

1105 Sixth St
Traverse City, MI 49684
Phone (231) 922-9000

5900 Byron Center Ave SW
Wyoming, MI 49519
Phone (616) 252-3243

Organizations & group practices 22

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 22

Hospital & facility affiliations 6

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": "1349308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570579200000",
    "number": "1073865788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4100 PARK FOREST DR",
            "address_2": "SUITE 210",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496847331",
            "telephone_number": "231-935-5770",
            "fax_number": "231-935-0747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4100 PARK FOREST DR",
            "address_2": "SUITE 210",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496847331",
            "telephone_number": "231-935-5770",
            "fax_number": "231-935-0747"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "400 Hobart St",
            "address_purpose": "LOCATION",
            "city": "Cadillac",
            "state": "MI",
            "postal_code": "496012331",
            "country_code": "US",
            "telephone_number": "231-876-2644",
            "fax_number": "231-876-7865",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GUNSBERG",
        "first_name": "JONATHAN",
        "middle_name": "P",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-10-04",
        "last_updated": "2019-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MI",
            "license": "4704253836",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1073865788",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Traverse City, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2019; 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.