Active NPI
Jonathan Becker, CRNA
- Certified Registered Nurse Anesthetist
- Detroit, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 4704318268
- Practice address
- 2799 W Grand Blvd
Detroit, MI 48202-2608 - Phone
- (313) 916-2600
- NPI assigned
- Aug 24, 2021
- Sex
- Male
- Sole proprietor
- No
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 and National Provider Directory roles.
-
- Certified Registered Nurse Anesthetist
- Rochester, MI
- NPI 1235252321
MI, Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Mount Clemens, MI
- NPI 1750797015
MI, Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Detroit, MI
- NPI 1871666479
MI, Nurse Anesthetist, Certified Registered
-
- Pulmonary Disease Physician
- Rochester, MI
- NPI 1275656357
-
- Neurology Physician
- Rochester, MI
- NPI 1366565442
-
- Psychiatric Hospital Unit
- Rochester, MI
- NPI 1376697581
-
- Nurse Practitioner
- Rochester, MI
- NPI 1427171511
-
- General Acute Care Hospital
- Rochester, MI
- NPI 1437176203
-
- Family Medicine Physician
- Rochester, MI
- NPI 1437272523
-
- Rehabilitation Hospital Unit
- Rochester, MI
- NPI 1750435962
-
- Family Medicine Physician
- Rochester, MI
- NPI 1184747263
-
- Community/Retail Pharmacy
- Plymouth, MI
- NPI 1942931720
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Henry Ford Health Rochester HospitalHenry Ford Health System
Practice addresses (Care Compare)
1101 W University Dr
Rochester, MI 48307-1863
Phone (248) 652-5000
2799 W Grand Boulevard
Detroit, MI 48202-2608
Phone (313) 916-2600
Hospital & facility affiliations
- Henry Ford Health Hospital
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210917001932 | MI | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 2668879693 | Reassigns benefits to 3 organizations |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Henry Ford Health Rochester Hospital | Current | Accepting new patients | |
| Henry Ford Health Rochester Hospital | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| GLPS Staffing Solutions LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Henry Ford Health System | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Henry Ford Health System | Current | Accepting new patients |
Locations
7560 Solutions Ctr
Chicago, IL 60677
2799 W Grand Blvd
Detroit, MI 48202
Phone (313) 876-2062
1000 Harrington St
Mount Clemens, MI 48043
Phone (586) 493-3727
1101 W University Dr
Rochester Hls, MI 48307
Phone (248) 601-4805
Interoperability endpoints
- jbecker757887@direct.hfhs.org
- https://api.platform.athenahealth.com/8209/brand/5/csg/21/fhir/r4
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 4704318268 | MI | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
2799 W Grand Blvd
Detroit, MI 48202-2608
Mailing address
2343 Norton Rd
Rochester Hills, MI 48307-3768
Phone (248) 930-5245
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 14, 2021.
{
"created_epoch": "1629763200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1631577600000",
"number": "1457028987",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2343 NORTON RD",
"city": "ROCHESTER HILLS",
"state": "MI",
"postal_code": "483073768",
"telephone_number": "248-930-5245"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2799 W GRAND BLVD",
"city": "DETROIT",
"state": "MI",
"postal_code": "482022608",
"telephone_number": "313-916-2600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BECKER",
"first_name": "JONATHAN",
"name_prefix": "Dr.",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-08-24",
"last_updated": "2021-09-14",
"certification_date": "2021-09-14",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "MI",
"license": "4704318268",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Detroit, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 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.