Active NPI
Kenneth Jerome Betley, CRNA
- Certified Registered Nurse Anesthetist
- Ann Arbor, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 4704130400
- Practice address
- 1500 East Medical Center Dr
1H247 University Hospital
Ann Arbor, MI 48109-5048 - Phone
- (734) 936-4280
- NPI assigned
- Aug 14, 2006
- Last updated
- Feb 6, 2014
- 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 | 4704130400 | MI | Primary |
Addresses
Primary practice location
1500 East Medical Center Dr
1H247 University Hospital
Ann Arbor, MI 48109-5048
Mailing address
3621 S State St
700 KMS Place
Ann Arbor, MI 48108
Phone (734) 936-2047
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 104486328 | Medicaid | MI | |
| 430079560 | Other | MI | RAILROAD MEDICARE |
| KB130400 | Other | MI | BLUE CROSS OF MI |
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, 1990
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1840 Wealthy St SE
Corewell Health Medical Group West
Grand Rapids, MI 49506-2921
Phone (616) 885-5000
4444 Kalamazoo Ave SE
200 Corewell Health Medical Group West
Kentwood, MI 49508-4600
Phone (616) 391-5600
4599 Towne Centre Rd
Saginaw, MI 48604-2804
Phone (734) 421-3300
800 S Washington Ave
Saginaw, MI 48601-2551
Phone (989) 907-8200
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Resource Anesthesiology Associates of Mid Michigan PC | Current | Accepting new patients | |
| Regents of the University of Michigan | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Hurley Medical Center | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Resource Anesthesiology Associates of Mi PC | Current | Accepting new patients | |
| Hurley Medical Center | Current | Accepting new patients | |
| Anesthesia Associates of the Lower Peninsula PC | Current | Accepting new patients | |
| Regents of the University of Michigan | Current | Accepting new patients | |
| American Anesthesiology Associates of Michigan, PC | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| Straith Hospital for Special Surgery | Past | Accepting new patients |
Locations
1500 E Medical Center Dr
Ann Arbor, MI 48109
Phone (734) 936-4280
1500 E Medical Center Dr
#1H247
Ann Arbor, MI 48109
Phone (734) 936-4280
3621 S State St
#700
Ann Arbor, MI 48108
4270 Plymouth Rd
Ann Arbor, MI 48109
Phone (734) 232-3000
18101 Oakwood Blvd
Dearborn, MI 48124
Phone (313) 593-8780
1 Hurley Plz
Flint, MI 48503
Phone (810) 257-9000
1 Genesys Pkwy
Grand Blanc, MI 48439
Phone (810) 606-5733
826 W King St
Owosso, MI 48867
Phone (989) 720-2273
4599 Towne Centre Rd
Saginaw, MI 48604
Phone (989) 497-3000
800 S Washington Ave
Saginaw, MI 48601
Phone (989) 776-8000
Interoperability endpoints
- kbetley218558@direct.hfhs.org
Organizations & group practices 10
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.
-
- Anesthesiology Physician
- Saginaw, MI
- NPI 1740152412
-
- Anesthesiology Physician
- Saginaw, MI
- NPI 1568755882
-
dba Corewell Health Medical Group West
- Internal Medicine Physician
- Grand Rapids, MI
- NPI 1235188673
-
dba Hurley CRNA Group
- Certified Registered Nurse Anesthetist
- Flint, MI
- NPI 1558397653
Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Ann Arbor, MI
- NPI 1528010428
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Saginaw, MI
- NPI 1104617786
-
- Plastic and Reconstructive Surgery Physician
- Flint, MI
- NPI 1689345761
-
- Specialty Pharmacy
- Dexter, MI
- NPI 1952181919
-
- Anesthesiology Physician
- Grand Blanc, MI
- NPI 1235181223
Nurse Anesthetist, Certified Registered
-
- General Acute Care Hospital
- Southfield, MI
- NPI 1710037221
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Saginaw, MI
- NPI 1871507509
-
dba Corewell Health Pennock Hospital
- Critical Access Hospital
- Hastings, MI
- NPI 1932695525
-
dba Corewell Health Grand Rapids Hospital
- General Acute Care Hospital
- Grand Rapids, MI
- NPI 1922090554
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155513600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1391644800000",
"number": "1255344867",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3621 S STATE ST",
"address_2": "700 KMS PLACE",
"city": "ANN ARBOR",
"state": "MI",
"postal_code": "48108",
"telephone_number": "734-936-2047"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1500 EAST MEDICAL CENTER DR",
"address_2": "1H247 UNIVERSITY HOSPITAL",
"city": "ANN ARBOR",
"state": "MI",
"postal_code": "481095048",
"telephone_number": "734-936-4280"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BETLEY",
"first_name": "KENNETH",
"middle_name": "JEROME",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-14",
"last_updated": "2014-02-06",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "MI",
"license": "4704130400",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "104486328",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "430079560",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS OF MI",
"identifier": "KB130400",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Ann Arbor, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2014; 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.