Active NPI
Janet M Simula, CRNA
- Certified Registered Nurse Anesthetist
- Marquette, MI
National Provider Identifier
1083696272
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 4704143589
- Practice address
- 580 W College Ave
Marquette, MI 49855-2705 - Phone
- (906) 225-3406
- Fax
- (906) 225-3094
- NPI assigned
- Nov 15, 2005
- Last updated
- Apr 25, 2008
- Sex
- Female
- 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 | 4704143589 | MI | Primary |
Addresses
Primary practice location
580 W College Ave
Marquette, MI 49855-2705
Mailing address
616 W Hampton St
Marquette, MI 49855-5037
Phone (906) 226-9861
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| JS143589 | Other | MI | BLUESHIELD PIN |
| 103078624 | Medicaid | MI | |
| 430023604 | Other | MI | RAILROAD MEDICARE PIN |
| 43401300 | Other | WI | WISC MEDICAID PIN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4704143589 | MI | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| DLP Marquette General Hospital LLC | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| Marquette General Hospital, Inc. | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
Organizations & group practices 2
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.
-
dba UP Health System Marquette
- Certified Registered Nurse Anesthetist
- Marquette, MI
- NPI 1841541695
Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Marquette, MI
- NPI 1639332455
Nurse Anesthetist, Certified Registered
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132012800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1209081600000",
"number": "1083696272",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "616 W HAMPTON ST",
"city": "MARQUETTE",
"state": "MI",
"postal_code": "498555037",
"telephone_number": "906-226-9861"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "580 W COLLEGE AVE",
"city": "MARQUETTE",
"state": "MI",
"postal_code": "498552705",
"telephone_number": "906-225-3406",
"fax_number": "906-225-3094"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIMULA",
"first_name": "JANET",
"middle_name": "M",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-11-15",
"last_updated": "2008-04-25",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "MI",
"license": "4704143589",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUESHIELD PIN",
"identifier": "JS143589",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "103078624",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE PIN",
"identifier": "430023604",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WISC MEDICAID PIN",
"identifier": "43401300",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Marquette, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.