Individual provider Active NPI

Jeanette B Lawrence, CRNA

  • Certified Registered Nurse Anesthetist
  • Clinton TWP, MI
National Provider Identifier
1265452080
Registry record updated Feb 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
4704192637 Issued in MI
Practice address
43475 Dalcoma Dr Ste 100
Clinton TWP, MI 48038-3593
Phone
(586) 263-5043
NPI assigned
Jul 21, 2006
Last updated
Feb 28, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 110628 NC
Certified Registered Nurse Anesthetist 367500000X 4704192637 MI Primary

Addresses

Primary practice location

43475 Dalcoma Dr Ste 100
Clinton TWP, MI 48038-3593

Mailing address

78675 Harvest LN
Bruce TWP, MI 48065-1819
Phone (248) 930-1212

Other practice location 1

200 Hawthorne Ln
Charlotte, NC 28204-2515
Phone (704) 316-1594

Other practice location 2

11012 E 13 Mile Rd Ste 112A
Warren, MI 48093-2546
Phone (586) 751-9800

Other practice location 3

22401 Foster Winter Dr
Southfield, MI 48075-3724
Phone (248) 423-5198

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090406000473 MI Practitioner - Certified Registered Nurse Anesthetist (Crna) 6800897356 Reassigns benefits to 8 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Anesthesia Associates of Ann Arbor PLLCGroup PAC ID 1355317223, 213 clinicians
West Michigan Aas LLCGroup PAC ID 9931324076, 38 clinicians
Eastern District Anesthesiology PLLCGroup PAC ID 6507195419, 40 clinicians
Asa Staffing IncGroup PAC ID 3971898644, 146 clinicians

Practice addresses (Care Compare)

11012 E 13 Mile Rd
Suite 112a
Warren, MI 48093-2546
Phone (586) 751-9800

130 Town Ctr Dr
Troy, MI 48084-1744
Phone (248) 593-9780

1349 S Rochester Rd
250 Orthopaedic Surgical Institute
Rochester Hills, MI 48307-3186
Phone (248) 601-0040

21510 Harrington St
Suite 300
Clinton Township, MI 48036-2378
Phone (586) 323-4575

50 N Perry St
McLaren Oakland
Pontiac, MI 48342-2217
Phone (248) 338-5000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
67.5 of 100Reported as group
Quality
58.12
Improvement activities
40
Cost
68.45

Merit-based Incentive Payment System (MIPS)

Final score
46.38 of 100Reported as group
Quality
35.05
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4704192637MIMDCertified Registered Nurse Anesthetist
110628NCMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Asa Staffing Inc Nurse Anesthetist, Certified Registered CurrentSince Oct 7, 2024 Accepting new patients
Southfield Rehabilitation Company CurrentSince Dec 1, 2018 Accepting new patients
West Michigan Aas LLC CurrentSince Sep 29, 2025 Accepting new patients
Eastern District Anesthesiology PLLC Nurse Anesthetist, Certified Registered CurrentSince Apr 1, 2021 Accepting new patients
Novi Aas LLC CurrentSince Mar 1, 2026 Accepting new patients
Macomb Anesthesia, PC CurrentSince Nov 20, 2018 Accepting new patients
Anesthesia Associates of Ann Arbor, PLLC Nurse Anesthetist, Certified Registered CurrentSince Aug 15, 2024 Accepting new patients
Southfield Rehabilitation Company Nurse Anesthetist, Certified Registered CurrentSince Dec 1, 2018 Accepting new patients
Michigan Interventional Pain Associates PLLC CurrentSince Feb 27, 2025 Accepting new patients
Sunrise Anesthesiology of Michigan, PC Nurse Anesthetist, Certified Registered Past Accepting new patients
Park Ridge Anesthesiology Services, PA Nurse Anesthetist, Certified Registered Past Accepting new patients
Henry Ford Health Providence Hospital Nurse Anesthetist, Certified Registered Past Accepting new patients

Locations

2006 Hogback Rd
Ste 5
Ann Arbor, MI 48105
Phone (313) 712-4331

1900 Columbus Ave
Bay City, MI 48708
Phone (989) 894-3000

15855 19 Mile Rd
Clinton Twp, MI 48038
Phone (586) 263-2300

43475 Dalcoma Dr
Ste 100
Clinton Twp, MI 48038
Phone (586) 263-5043

4024 Park East Ct SE
Grand Rapids, MI 49546
Phone (231) 592-3102

620 Byron Rd
Howell, MI 48843
Phone (517) 545-5450

43422 W Oaks Dr
Novi, MI 48377
Phone (248) 229-4658

50 N Perry St
Pontiac, MI 48342
Phone (248) 338-5300

1349 S Rochester Rd
Ste 250
Rochester Hills, MI 48307
Phone (248) 601-0040

1101 W University Dr
Rochester Hls, MI 48307
Phone (248) 601-4805

22401 Foster Winter Dr
Southfield, MI 48075
Phone (248) 423-4100

130 Town Center Dr
Ste 106
Troy, MI 48084
Phone (248) 593-9780

130 Town Center Dr
Ste 130
Troy, MI 48084
Phone (248) 624-7246

1560 E Maple Rd
#100
Troy, MI 48083
Phone (248) 817-2001

11012 E 13 Mile Rd
Ste 112A
Warren, MI 48093
Phone (586) 573-6880

2300 Haggerty Rd
Ste 2100
West Bloomfield, MI 48323
Phone (248) 624-7246

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 7

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": "1153440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740700800000",
    "number": "1265452080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "78675 HARVEST LN",
            "city": "BRUCE TWP",
            "state": "MI",
            "postal_code": "480651819",
            "telephone_number": "248-930-1212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43475 DALCOMA DR STE 100",
            "city": "CLINTON TWP",
            "state": "MI",
            "postal_code": "480383593",
            "telephone_number": "586-263-5043"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "200 Hawthorne Ln",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282042515",
            "country_code": "US",
            "telephone_number": "704-316-1594",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11012 E 13 Mile Rd Ste 112A",
            "address_purpose": "LOCATION",
            "city": "Warren",
            "state": "MI",
            "postal_code": "480932546",
            "country_code": "US",
            "telephone_number": "586-751-9800",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "22401 Foster Winter Dr",
            "address_purpose": "LOCATION",
            "city": "Southfield",
            "state": "MI",
            "postal_code": "480753724",
            "country_code": "US",
            "telephone_number": "248-423-5198",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LAWRENCE",
        "first_name": "JEANETTE",
        "middle_name": "B",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-21",
        "last_updated": "2025-02-28",
        "certification_date": "2025-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NC",
            "license": "110628",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MI",
            "license": "4704192637",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clinton TWP, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 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.