Active NPI
Olya Jennings, CRNA
- Anesthesiology Physician
- Bingham Farms, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 4704155478
- Practice address
- 30200 Telegraph Rd
Suite 220
Bingham Farms, MI 48025-4502 - Phone
- (248) 258-5058
- NPI assigned
- Oct 5, 2006
- 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 |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 4704155478 | MI | Primary |
Addresses
Primary practice location
30200 Telegraph Rd
Suite 220
Bingham Farms, MI 48025-4502
Mailing address
7070 Cedarbank Dr
West Bloomfield, MI 48324-2400
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00443089 | Other | MI | RAILROAD MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20061024000216 | MI | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 4981601572 | Reassigns benefits to 6 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Henry Ford Macomb Hospital CorporationHenry Ford Health SystemHenry Ford West Bloomfield Hospital
Practice addresses (Care Compare)
15855 19 Mile Rd
Clinton Township, MI 48038-3504
Phone (586) 263-2300
6777 W Maple Rd
West Bloomfield, MI 48322-3013
Phone (248) 661-4100
Hospital & facility affiliations
- Henry Ford Health West Bloomfield Hospital
- Henry Ford Macomb Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4704155478 | MI | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Henry Ford Macomb Hospital Corporation | Current | Accepting new patients | |
| Henry Ford West Bloomfield Hospital | Current | Accepting new patients | |
| Henry Ford Health System | Current | Accepting new patients | |
| Henry Ford West Bloomfield Hospital | Anesthesiology | Current | Accepting new patients |
| Henry Ford Macomb Hospital Corporation | Current | Accepting new patients | |
| Macomb Anesthesia, PC | Anesthesiology | Current | Accepting new patients |
| Henry Ford Health System | Current | Accepting new patients | |
| Ambulatory Anesthesia Associates, PC | Anesthesiology | Current | Accepting new patients |
| Henry Ford Macomb Hospital Corporation | Current | Accepting new patients | |
| Henry Ford Macomb Hospital Corporation | Current | Accepting new patients | |
| Northstar Anesthesia of Michigan II PC | Anesthesiology | Past | Accepting new patients |
Locations
30795 23 Mile Rd
Chesterfield, MI 48047
Phone (586) 421-3000
15855 19 Mile Rd
Clinton Twp, MI 48038
Phone (586) 263-2300
15717 15 Mile Rd
Clinton Twp, MI 48035
Phone (586) 285-3800
43475 Dalcoma Dr
Ste 100
Clinton Twp, MI 48038
Phone (586) 263-5043
2799 W Grand Blvd
Detroit, MI 48202
Phone (313) 876-2062
230 W Maple Rd
Troy, MI 48084
Phone (248) 244-1500
6777 W Maple Rd
West Bloomfield, MI 48322
Phone (248) 325-1000
Interoperability endpoints
- jolya194595@direct.hfhs.org
Organizations & group practices 13
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
- Clinton Township, MI
- NPI 1528130739
MI
-
- Anesthesiology Physician
- West Bloomfield, MI
- NPI 1518104686
Anesthesiology, MI
-
- Anesthesiology Physician
- Monroe, MI
- NPI 1952350555
Anesthesiology, MI
-
- Anesthesiology Physician
- Clinton Township, MI
- NPI 1639248206
Anesthesiology, MI
-
- General Acute Care Hospital
- Clinton TWP, MI
- NPI 1023114634
-
- Family Medicine Physician
- Clinton TWP, MI
- NPI 1134265986
-
- Rehabilitation Hospital Unit
- Clinton TWP, MI
- NPI 1942399829
-
- Community/Retail Pharmacy
- Plymouth, MI
- NPI 1942931720
-
- Neonatal Nurse Practitioner
- Clinton Township, MI
- NPI 1912301094
-
- Internal Medicine Physician
- West Bloomfield, MI
- NPI 1386920122
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Clinton TWP, MI
- NPI 1023114634
Hospital
-
- General Acute Care Hospital
- Warren, MI
- NPI 1902842735
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160006400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1204502400000",
"number": "1467548834",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7070 CEDARBANK DR",
"city": "WEST BLOOMFIELD",
"state": "MI",
"postal_code": "483242400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30200 TELEGRAPH RD",
"address_2": "SUITE 220",
"city": "BINGHAM FARMS",
"state": "MI",
"postal_code": "480254502",
"telephone_number": "248-258-5058"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JENNINGS",
"first_name": "OLYA",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-05",
"last_updated": "2008-03-03",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "MI",
"license": "4704155478",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00443089",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bingham Farms, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2008; 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.