Active NPI
Jessica Althaus
- Certified Registered Nurse Anesthetist
- Jackson, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 4704278645
- Practice address
- 205 North East Avenue
Anesthesia Department
Jackson, MI 49201 - Phone
- (517) 205-4963
- NPI assigned
- May 11, 2017
- Last updated
- Mar 31, 2021
- Sex
- Female
- 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 | 4704278645 | MI | Primary |
Addresses
Primary practice location
205 North East Avenue
Anesthesia Department
Jackson, MI 49201
Mailing address
1742 Cedar LN
Ann Arbor, MI 48105-9272
Phone (734) 255-9947
Other practice location 1
16001 W 9 Mile Rd
Southfield, MI 48075-4818
Phone (248) 849-3000
Other practice location 2
47601 Grand River Ave
Novi, MI 48374-1233
Phone (248) 465-4100
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jalthaus538721@direct.hfhs.org |
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, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
5300 Elliott Dr
Ypsilanti, MI 48197-8632
Phone (734) 434-6262
775 S Main St
Chelsea, MI 48118-1370
Phone (734) 475-1311
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Chelsea Community Hospital | Current | Accepting new patients | |
| Huron Gastroenterology Associates PC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Huron Gastroenterology Associates PC | Current | Accepting new patients | |
| PSJ Anesthesia PC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Chelsea Community Hospital | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
Locations
775 S Main St
Chelsea, MI 48118
Phone (313) 995-3764
620 Byron Rd
Howell, MI 48843
Phone (517) 545-5450
36650 5 Mile Rd
Ste 100
Livonia, MI 48154
Phone (734) 432-0314
47601 Grand River Ave
Novi, MI 48374
Phone (248) 465-4100
16001 W 9 Mile Rd
Southfield, MI 48075
Phone (248) 424-3000
5300 Elliott Dr
Ypsilanti, MI 48197
Phone (734) 434-6262
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
Organizations & group practices 5
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.
-
- Certified Registered Nurse Anesthetist
- Chelsea, MI
- NPI 1568542967
Nurse Anesthetist, Certified Registered
-
- Gastroenterology Physician
- Ypsilanti, MI
- NPI 1144335639
Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Southfield, MI
- NPI 1275905796
Nurse Anesthetist, Certified Registered
-
- Urgent Care Clinic/Center
- Chelsea, MI
- NPI 1033778733
-
- Gastroenterology Physician
- Howell, MI
- NPI 1265635593
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Chelsea Hospital
- General Acute Care Hospital
- Chelsea, MI
- NPI 1992761985
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1494460800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1617148800000",
"number": "1356877401",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1742 CEDAR LN",
"city": "ANN ARBOR",
"state": "MI",
"postal_code": "481059272",
"telephone_number": "734-255-9947"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "205 NORTH EAST AVENUE",
"address_2": "ANESTHESIA DEPARTMENT",
"city": "JACKSON",
"state": "MI",
"postal_code": "49201",
"telephone_number": "517-205-4963"
}
],
"practiceLocations": [
{
"address_1": "16001 W 9 Mile Rd",
"address_purpose": "LOCATION",
"city": "Southfield",
"state": "MI",
"postal_code": "480754818",
"country_code": "US",
"telephone_number": "248-849-3000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "47601 Grand River Ave",
"address_purpose": "LOCATION",
"city": "Novi",
"state": "MI",
"postal_code": "483741233",
"country_code": "US",
"telephone_number": "248-465-4100",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ALTHAUS",
"first_name": "JESSICA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-05-11",
"last_updated": "2021-03-31",
"certification_date": "2021-03-31",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "MI",
"license": "4704278645",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jalthaus538721@direct.hfhs.org",
"affiliation": "N",
"address_1": "205 North East Avenue",
"address_2": "Anesthesia Department",
"city": "Jackson",
"state": "MI",
"country_code": "US",
"postal_code": "49201",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Jackson, MI
- Sayf M Altabaqchali, M.D.
- Samantha Nicole Altamirano, ATC
- Stevee K Altenbernt
- Alternative Community Living, Inc. (Hope Network - New Passages)
- Alternative Community Living, Inc. (Hope Network - New Passages)
- Brianna Angelina Altobello
- Zacareonna Alvarez
- Samantha Alwood, PHARMD
- Alyson Bundy Counseling, PLLC
- Rami Alzebdeh, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2021; 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.