Active NPI
Jeffrey Raymond Busche, CRNA
- Certified Registered Nurse Anesthetist
- Iron Mountain, MI
National Provider Identifier
1104868835
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 4704121383
- Practice address
- 1721 S Stephenson Ave
Iron Mountain, MI 49801-3637 - Phone
- (906) 766-5457
- NPI assigned
- Jun 10, 2006
- Sex
- Male
- 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 | 4704121383 | MI | Primary |
Addresses
Primary practice location
1721 S Stephenson Ave
Iron Mountain, MI 49801-3637
Mailing address
744 W Michigan Ave
Jackson, MI 49201-1909
Phone (517) 787-6440
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)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Certified Registered Nurse
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149897600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1104868835",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "744 W MICHIGAN AVE",
"city": "JACKSON",
"state": "MI",
"postal_code": "492011909",
"telephone_number": "517-787-6440",
"fax_number": "517-787-4146"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1721 S STEPHENSON AVE",
"city": "IRON MOUNTAIN",
"state": "MI",
"postal_code": "498013637",
"telephone_number": "906-766-5457"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUSCHE",
"first_name": "JEFFREY",
"middle_name": "RAYMOND",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-10",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "MI",
"license": "4704121383",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Iron Mountain, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.