Amanda Ahrens, CRNA
Individual provider Active NPI Certified Registered Nurse Anesthetist · Jackson, MI
NPI 1093033474 · NPPES record last updated Mar 29, 2021
Key facts
- NPI
- 1093033474
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Certified Registered Nurse Anesthetist 367500000X
- License
- 4704237420 (MI)
- Practice address
- 205 N East Ave
Jackson, MI 49201 - Phone
- (517) 788-4800
- NPI assigned
- May 11, 2010
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 17
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- W. a. Foote Memorial Hospital, Inc.
Practice addresses (Care Compare)
205 N E Ave
Jackson, MI 49201-1753
205 S E Ave
Henry Ford Allegiance Digestive HLT
Jackson, MI 49201-2413
Phone (517) 205-2103
Hospital & facility affiliations
- Henry Ford Allegiance Health
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20101108000779 | MI | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 1355536053 | Reassigns benefits to 5 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4704237420 | MI | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Chelsea Community Hospital | Nurse Anesthetist, Certified Registered | Current |
Accepting new patients |
| Michigan Crnas Staffing LLC | Current |
Accepting new patients | |
| Chelsea Community Hospital | Current |
Accepting new patients | |
| Wa Foote Memorial Hospital, Inc | Nurse Anesthetist, Certified Registered | Current |
Accepting new patients |
| Novi Aas LLC | Current |
Accepting new patients | |
| West Michigan Aas LLC | Current |
Accepting new patients | |
| W.a. Foote Memorial Hospital, Inc | Current |
Accepting new patients |
Locations
775 S Main St
Chelsea, MI 48118
Phone (313) 995-3764
17000 Executive Plaza Dr
Ste 301
Dearborn, MI 48126
Phone (313) 408-6613
1 Ford Pl
Ste 2E
Detroit, MI 48202
Phone (313) 874-3953
4024 Park East Ct SE
Grand Rapids, MI 49546
Phone (231) 592-3102
205 N East Ave
Jackson, MI 49201
Phone (517) 788-4730
205 S East Ave
Jackson, MI 49201
Phone (517) 205-2103
1030 N Monroe St
Ste 2
Monroe, MI 48162
Phone (734) 682-3309
43422 W Oaks Dr
Novi, MI 48377
Phone (248) 229-4658
25500 Meadowbrook Rd
Ste 110
Novi, MI 48375
Phone (248) 477-0220
1560 E Maple Rd
#100
Troy, MI 48083
Phone (248) 817-2001
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 4704237420 | MI | |
| Certified Registered Nurse Anesthetist | 367500000X | 4704237420 | MI | Yes |
Addresses
Primary practice location
205 N East Ave
Jackson, MI 49201
Mailing address
PO Box 64000
Drawer 541535
Detroit, MI 48264-0001
Phone (734) 786-8052
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | aahrens453098@direct.hfhs.org |
Other providers in Jackson, MI
- Alexis Ahlbaum
- Joshua Paul Ahlstrom
- Masood Ahmad
- Mobeen Ahmad
- Sameer Ahmed
- Samuel Olasoji Ajagbonna
- Matthew Ajayi
- Linda Akers
- Nofil Akhtar
- Samer Al Daheen
All providers in Jackson, MI · Certified Registered Nurse Anesthetist in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 29, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.