Individual provider Active NPI

Jerry J Dawes, CRNA

  • Certified Registered Nurse Anesthetist
  • Flint, MI
National Provider Identifier
1104842780
Registry record updated Mar 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
4704212253 Issued in MI
Practice address
1 Hurley PLZ
Flint, MI 48503-5902
Phone
(810) 257-9000
Fax
(810) 760-0440
NPI assigned
Jul 15, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2025

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 4704212253 MI Primary

Addresses

Primary practice location

1 Hurley PLZ
Flint, MI 48503-5902

Mailing address

1 Hurley PLZ
5TH Floor S.O.N.
Flint, MI 48503-5902
Phone (810) 762-7038

Other practice location 1

4466 W Bristol Rd
Flint, MI 48507-3170
Phone (810) 733-1200

Other identifiers 2

IdentifierTypeStateIssuer
0B56166OtherMIBLUE SHIELD
4483175MedicaidMI

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110126000503 MI Practitioner - Certified Registered Nurse Anesthetist (Crna) 2860671682 Reassigns benefits to 10 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hurley Medical CenterGroup PAC ID 2961308481, 336 clinicians
Mymichigan Medical Center MidlandGroup PAC ID 2264323633, 507 clinicians
Munson Healthcare Otsego Memorial HospitalGroup PAC ID 8325942535, 126 clinicians

Practice addresses (Care Compare)

1 Hurley PLZ
Flint, MI 48503-5902
Phone (810) 262-9353

4000 Wellness Dr
Midland, MI 48670-2000
Phone (989) 839-3000

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

Hospital & facility affiliations

  • Mymichigan Medical Center Midland Hospital, Midland, MI, CCN 230222
  • Hurley Medical Center Hospital, Flint, MI, CCN 230132

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4704212253MIMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Munson Healthcare Otsego Memorial Hospital CurrentSince Nov 1, 2023 Accepting new patients
Mymichigan Medical Center Midland Nurse Anesthetist, Certified Registered CurrentSince Oct 1, 2025 Accepting new patients
Pathology Associates Inc PC Current Accepting new patients
Midland Pathology Associates, PC Current Accepting new patients
Hurley Medical Center Nurse Anesthetist, Certified Registered CurrentSince Dec 5, 2002 Accepting new patients
Munson Healthcare Otsego Memorial Hospital Nurse Anesthetist, Certified Registered CurrentSince Nov 1, 2023 Accepting new patients
Alliance Anesthesia PLLC Nurse Anesthetist, Certified Registered CurrentSince Aug 20, 2018 Accepting new patients
Mymichigan Medical Center Clare CurrentSince Jan 30, 2026 Accepting new patients
Emily Kinsman LLC Nurse Anesthetist, Certified Registered CurrentSince Sep 1, 2021 Accepting new patients
Family Orthopedic Associates P L C CurrentSince Mar 12, 2025 Accepting new patients
Hurley Medical Center CurrentSince Dec 5, 2002 Accepting new patients
Mymichigan Medical Center West Branch CurrentSince Jan 30, 2026 Accepting new patients
Mymichigan Medical Center Midland CurrentSince Oct 1, 2025 Accepting new patients
Munson Healthcare Otsego Memorial Hospital Current Accepting new patients
Hurley Medical Center Current Accepting new patients
Genesee Medical Anesthesia, PC CurrentSince Nov 19, 2017 Accepting new patients
Priority Anesthesia Staffing Nurse Anesthetist, Certified Registered Current Accepting new patients
Family Orthopedic Associates P L C CurrentSince Mar 12, 2025 Accepting new patients
Mymichigan Medical Center West Branch Nurse Anesthetist, Certified Registered CurrentSince Jan 30, 2026 Accepting new patients
The Digestive Endoscopy Center of Michigan LLC Nurse Anesthetist, Certified Registered CurrentSince Aug 11, 2010 Accepting new patients
Munson Healthcare Otsego Memorial Hospital Current Accepting new patients
Mymichigan Medical Center Clare Nurse Anesthetist, Certified Registered CurrentSince Jan 30, 2026 Accepting new patients
The Digestive Endoscopy Center of Michigan LLC Current Accepting new patients

Locations

703 N McEwan St
Clare, MI 48617
Phone (989) 802-5000

17015 Silver Pkwy
Fenton, MI 48430
Phone (810) 593-0023

4466 W Bristol Rd
Flint, MI 48507
Phone (810) 733-1200

5014 Villa Linde Pkwy
Flint, MI 48532
Phone (810) 275-9108

6240 Rashelle Dr
Ste 101
Flint, MI 48507
Phone (810) 600-4000

4800 S Saginaw St
Ste 1845
Flint, MI 48507
Phone (810) 275-9152

1 Hurley Plz
Fl 5
Flint, MI 48503
Phone (810) 262-9353

1 Hurley Plz
Flint, MI 48503
Phone (810) 257-9000

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

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

4000 Wellness Dr
Midland, MI 48670
Phone (844) 832-1956

2463 S M 30
West Branch, MI 48661
Phone (517) 345-3660

L4355
Columbus, OH 43260

Organizations & group practices 46

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 46

Hospital & facility affiliations 4

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": "1152921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743033600000",
    "number": "1104842780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 HURLEY PLZ",
            "address_2": "5TH FLOOR S.O.N.",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485035902",
            "telephone_number": "810-762-7038",
            "fax_number": "810-760-0440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 HURLEY PLZ",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485035902",
            "telephone_number": "810-257-9000",
            "fax_number": "810-760-0440"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4466 W Bristol Rd",
            "address_purpose": "LOCATION",
            "city": "Flint",
            "state": "MI",
            "postal_code": "485073170",
            "country_code": "US",
            "telephone_number": "810-733-1200",
            "fax_number": "810-733-0688",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAWES",
        "first_name": "JERRY",
        "middle_name": "J",
        "name_prefix": "Mr.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-15",
        "last_updated": "2025-03-27",
        "certification_date": "2025-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MI",
            "license": "4704212253",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "0B56166",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4483175",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Flint, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2025; 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.