Jennifer L Daniel, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

4704216873 Issued in MI

Practice address

4100 Park Forest Dr
Suite 210
Traverse City, MI 49684-7331

Phone

(231) 935-5770

Fax

(231) 935-0747

NPI assigned

Oct 3, 2007

Last updated

Feb 13, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Specialty

Certified Registered Nurse Anesthetist (Crna)

Education

Other, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Munson Healthcare Charlevoix HospitalGroup PAC ID 4284528035, 57 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Charlevoix Area Hospital Hospital, Charlevoix, MI, CCN 231322

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Munson Healthcare Charlevoix Hospital

  dba Physician Clinic of Charlevoix

  • Pediatrics Physician
  • Charlevoix, MI
  • NPI 1326124058
  Medicare reassignment Care Compare group NPD
• Acquisition Bell Hospital LLC

  dba UP Health System Bell

  • Critical Access Hospital
  • Ishpeming, MI
  • NPI 1699101345
  Medicare reassignment NPD
• South Shore Anesthesia Staffing

  • Certified Registered Nurse Anesthetist
  • Marquette, MI
  • NPI 1013525112

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Munson Healthcare Cadillac

  dba Munson Healthcare Cadillac Anesthesia

  • Anesthesiology Physician
  • Cadillac, MI
  • NPI 1871991596
  Medicare reassignment
• Munson Healthcare Otsego Memorial Hospital

  • Certified Registered Nurse Anesthetist
  • Gaylord, MI
  • NPI 1376568865
  Medicare reassignment
• Acquisition Bell Hospital LLC

  dba UP Health System Bell

  • Anesthesiology Physician
  • Ishpeming, MI
  • NPI 1013789015
  NPD
• Munson Healthcare Charlevoix Hospital

  • Certified Registered Nurse Anesthetist
  • Charlevoix, MI
  • NPI 1063598845

  Nurse Anesthetist, Certified Registered

  NPD
• Munson Healthcare Charlevoix Hospital

  dba Munson Healthcare Charlevoix Walk-In Clinic

  • Family Medicine Physician
  • Charlevoix, MI
  • NPI 1972367043
  NPD
• Upper Michigan Associates LLC

  dba Upper Michigan Surgery Center

  • Ambulatory Surgical Clinic/Center
  • Marquette, MI
  • NPI 1184245771
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Munson Healthcare Charlevoix Hospital

  • Critical Access Hospital
  • Charlevoix, MI
  • NPI 1346260692
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1191369600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1518480000000",
    "number": "1366639387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 LAKESHORE DR",
            "city": "ISHPEMING",
            "state": "MI",
            "postal_code": "498491367",
            "telephone_number": "906-486-4431",
            "fax_number": "906-485-2343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4100 PARK FOREST DR",
            "address_2": "SUITE 210",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496847331",
            "telephone_number": "231-935-5770",
            "fax_number": "231-935-0747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DANIEL",
        "first_name": "JENNIFER",
        "middle_name": "L",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-10-03",
        "last_updated": "2018-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MI",
            "license": "4704216873",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1366639387",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Daniel Pilade Dall'Olmo, MD
• Breann Kay Dalzell, FNP- C
• Meghan Irene Damman, RD
• Dance of Life Midwifery LLC
• Daniel C. Madion DDS, MD PLLC (Madion Oral & Maxillofacial Surgery)
• Lisa Anne Danto, RN
• Laura J Danz, MD
• Patrick Joseph Darga
• Nicole Josephine Darou
• John Richard Darrow, MSW, LMSW

• Certified Registered Nurse Anesthetist in Traverse City, MI
• Providers in Traverse City, MI by specialty
• Certified Registered Nurse Anesthetist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2018; 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.