Individual provider Active NPI

Matthew K. Wesley, CRNA

  • Certified Registered Nurse Anesthetist
  • Saginaw, MI
National Provider Identifier
1386919959
Registry record updated Mar 15, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
4704234785 Issued in MI
Practice address
800 S Washington Ave
Saginaw, MI 48601-2551
Phone
(989) 776-8000
NPI assigned
Mar 15, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2012

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 4704234785 MI Primary

Addresses

Primary practice location

800 S Washington Ave
Saginaw, MI 48601-2551

Mailing address

255 W Michigan Ave
Jackson, MI 49201-2218
Phone (800) 516-5315

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120604000377 MI Practitioner - Certified Registered Nurse Anesthetist (Crna) 1658535604 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northern Anesthesia Providers PCGroup PAC ID 4789579863, 31 clinicians
Anesthesia Associates of the Lower Peninsula PCGroup PAC ID 1456841865, 25 clinicians
Resource Anesthesiology Associates of Mi PCGroup PAC ID 4082883053, 62 clinicians

Practice addresses (Care Compare)

416 Connable Ave
Petoskey, MI 49770-2212
Phone (231) 487-4000

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

State licenses

LicenseStateTypeSpecialty
4704234785MIMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Northern Anesthesia Providers PC CurrentSince Jan 27, 2025 Accepting new patients
Mymichigan Medical Center Saginaw Nurse Anesthetist, Certified Registered CurrentSince Mar 18, 2012 Accepting new patients
Resource Anesthesiology Associates of Mid Michigan PC CurrentSince Jul 1, 2025 Accepting new patients
Anesthesia Associates of the Lower Peninsula PC CurrentSince Oct 1, 2025 Accepting new patients
Covenant Medical Center, Inc CurrentSince Mar 2, 2023 Accepting new patients
Covenant Medical Center, Inc. Nurse Anesthetist, Certified Registered CurrentSince Mar 2, 2023 Accepting new patients
Resource Anesthesiology Associates of Mi PC CurrentSince May 1, 2023 Accepting new patients
Mymichigan Medical Center Saginaw CurrentSince Mar 18, 2012 Accepting new patients

Locations

255 W Michigan Ave
Jackson, MI 49201

826 W King St
Owosso, MI 48867
Phone (989) 720-2273

416 Connable Ave
Petoskey, MI 49770
Phone (231) 487-4000

800 S Washington Ave
Saginaw, MI 48601
Phone (989) 776-8000

1447 N Harrison St
Saginaw, MI 48602
Phone (989) 583-4220

4599 Towne Centre Rd
Saginaw, MI 48604
Phone (989) 497-3000

700 Cooper Ave
Saginaw, MI 48602
Phone (989) 583-6000

Organizations & group practices 8

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 3

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": "1331769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1331769600000",
    "number": "1386919959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "255 W MICHIGAN AVE",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492012218",
            "telephone_number": "800-516-5315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 S WASHINGTON AVE",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486012551",
            "telephone_number": "989-776-8000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WESLEY",
        "first_name": "MATTHEW",
        "middle_name": "K.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-03-15",
        "last_updated": "2012-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MI",
            "license": "4704234785",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saginaw, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2012; 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.