Active NPI
Amanda Ahrens, CRNA
- Certified Registered Nurse Anesthetist
- Jackson, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 4704237420
- Practice address
- 205 N East Ave
Jackson, MI 49201 - Phone
- (517) 788-4800
- NPI assigned
- May 11, 2010
- Last updated
- Mar 29, 2021
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 4704237420 | MI | |
| Certified Registered Nurse Anesthetist | 367500000X | 4704237420 | MI | Primary |
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 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | aahrens453098@direct.hfhs.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, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4704237420 | MI | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Chelsea Community Hospital | Current | Accepting new patients | |
| West Michigan Aas LLC | Current | Accepting new patients | |
| W.a. Foote Memorial Hospital | Current | Accepting new patients | |
| Chelsea Community Hospital | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Novi Aas LLC | Current | Accepting new patients | |
| W.a. Foote Memorial Hospital | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Michigan Crnas Staffing LLC | 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) 874-4316
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
25500 Meadowbrook Rd
Ste 110
Novi, MI 48375
Phone (248) 477-0220
43422 W Oaks Dr
Novi, MI 48377
Phone (248) 229-4658
1560 E Maple Rd
#100
Troy, MI 48083
Phone (248) 817-2001
Interoperability endpoints
- aahrens453098@direct.hfhs.org
Organizations & group practices 7
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 Allegiance Health
- Certified Registered Nurse Anesthetist
- Jackson, MI
- NPI 1598776718
Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Chelsea, MI
- NPI 1568542967
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Novi, MI
- NPI 1851666424
-
- Anesthesiology Physician
- Novi, MI
- NPI 1598176919
-
- Anesthesiology Physician
- Novi, MI
- NPI 1295149227
-
- Urgent Care Clinic/Center
- Chelsea, MI
- NPI 1033778733
-
dba Henry Ford Allegiance Health
- Physician Assistant
- Jackson, MI
- NPI 1538606348
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Henry Ford Allegiance Health
- General Acute Care Hospital
- Jackson, MI
- NPI 1053403402
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1273536000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1616976000000",
"number": "1093033474",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 64000",
"address_2": "DRAWER 541535",
"city": "DETROIT",
"state": "MI",
"postal_code": "482640001",
"telephone_number": "734-786-8052",
"fax_number": "734-786-4932"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "205 N EAST AVE",
"city": "JACKSON",
"state": "MI",
"postal_code": "49201",
"telephone_number": "517-788-4800"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AHRENS",
"first_name": "AMANDA",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-05-11",
"last_updated": "2021-03-29",
"certification_date": "2021-03-29",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "MI",
"license": "4704237420",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "MI",
"license": "4704237420",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "aahrens453098@direct.hfhs.org",
"affiliation": "N",
"address_1": "205 N East Ave",
"city": "Jackson",
"state": "MI",
"country_code": "US",
"postal_code": "49201",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Jackson, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 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.