NPIMap

Individual provider Active NPI

Joanna Pennywell

  • Certified Registered Nurse Anesthetist
  • Trenton, MI
National Provider Identifier
1144755984
Registry record updated Oct 29, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
4704248741 Issued in MI
Practice address
2181 Sheraton Dr
Trenton, MI 48183-1944
Phone
(313) 401-6739
NPI assigned
May 1, 2017
Last updated
Oct 29, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 29, 2019

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 4704248741 MI Primary

Addresses

Primary practice location

2181 Sheraton Dr
Trenton, MI 48183-1944

Mailing address

24635 Eton Ave
Dearborn Heights, MI 48125-1807
Phone (313) 401-6739

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170710002437 MI Practitioner - Certified Registered Nurse Anesthetist (Crna) 0042589871 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Henry Ford Wyandotte HospitalGroup PAC ID 2264334499, shared by 9 NPIs, 194 clinicians

Practice addresses (Care Compare)

2333 Biddle Ave
Wyandotte, MI 48192-4668
Phone (734) 246-6000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Henry Ford Health St. John Hospital CurrentSince Jun 20, 2017 Accepting new patients
Henry Ford Wyandotte Hospital Nurse Anesthetist, Certified Registered CurrentSince Jul 1, 2025 Accepting new patients
Henry Ford Wyandotte Hospital CurrentSince Nov 15, 2020 Accepting new patients
Henry Ford Wyandotte Hospital Nurse Anesthetist, Certified Registered CurrentSince Nov 15, 2020 Accepting new patients
Henry Ford Wyandotte Hospital Current Accepting new patients
Capital Area Anesthesia PC Nurse Anesthetist, Certified Registered CurrentSince Jun 27, 2017 Accepting new patients
W.a. Foote Memorial Hospital CurrentSince Feb 16, 2022 Accepting new patients
W.a. Foote Memorial Hospital Nurse Anesthetist, Certified Registered CurrentSince Feb 16, 2022 Accepting new patients
Henry Ford Health St. John Hospital Nurse Anesthetist, Certified Registered CurrentSince Jun 20, 2017 Accepting new patients
Anupama Shah MD, PLC CurrentSince Apr 1, 2022 Accepting new patients
Northstar Anesthesia of Michigan III PLLC Nurse Anesthetist, Certified Registered CurrentSince Mar 19, 2021 Accepting new patients
Stephen J. Watts, MD, PLLC Past Accepting new patients

Locations

7915 Solutions Ctr Dr
Chicago, IL 60677

18101 Oakwood Blvd
Dearborn, MI 48124
Phone (313) 593-8780

22101 Moross Rd
Detroit, MI 48236
Phone (313) 343-3248

205 S East Ave
Jackson, MI 49201
Phone (517) 205-2103

2900 Collins Rd
Lansing, MI 48910
Phone (517) 975-7500

1051 S Telegraph Rd
Ste 10
Monroe, MI 48161
Phone (734) 244-5383

1051 S Telegraph Rd
Ste 100
Monroe, MI 48161
Phone (734) 244-5383

33155 Annapolis St
Wayne, MI 48184
Phone (734) 467-4000

5450 Fort St
Woodhaven, MI 48183
Phone (734) 671-3297

2070 Biddle Ave
Ste 2
Wyandotte, MI 48192
Phone (734) 284-7482

2333 Biddle Ave
Wyandotte, MI 48192
Phone (734) 246-6000

Interoperability endpoints

  • Direct secure messaging: jgallagher58689@direct.hfhs.org

Organizations & group practices 12

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.

Hospital & facility affiliations 2

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": "1493596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572307200000",
    "number": "1144755984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24635 ETON AVE",
            "city": "DEARBORN HEIGHTS",
            "state": "MI",
            "postal_code": "481251807",
            "telephone_number": "313-401-6739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2181 SHERATON DR",
            "city": "TRENTON",
            "state": "MI",
            "postal_code": "481831944",
            "telephone_number": "313-401-6739"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENNYWELL",
        "first_name": "JOANNA",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-05-01",
        "last_updated": "2019-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MI",
            "license": "4704248741",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Trenton, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2019; 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.