Individual provider Active NPI

Olya Jennings, CRNA

  • Anesthesiology Physician
  • Bingham Farms, MI
National Provider Identifier
1467548834
Registry record updated Mar 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
4704155478 Issued in MI
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

Updated by the provider on Mar 3, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
P00443089OtherMIRAILROAD MEDICARE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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 CorporationGroup PAC ID 7911808381, 349 clinicians
Henry Ford Health SystemGroup PAC ID 0547178311, 2,550 clinicians
Henry Ford West Bloomfield HospitalGroup PAC ID 2264589449, 83 clinicians

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 Hospital, W Bloomfield, MI, CCN 230302
  • Henry Ford Macomb Hospital Hospital, Clinton Township, MI, CCN 230047

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
4704155478MIMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Henry Ford Macomb Hospital Corporation Current Accepting new patients
Henry Ford West Bloomfield Hospital CurrentSince Aug 20, 2012 Accepting new patients
Henry Ford Health System CurrentSince Aug 1, 2017 Accepting new patients
Henry Ford West Bloomfield Hospital Anesthesiology CurrentSince Aug 20, 2012 Accepting new patients
Henry Ford Macomb Hospital Corporation CurrentSince Jan 2, 1998 Accepting new patients
Macomb Anesthesia, PC Anesthesiology CurrentSince Mar 10, 2020 Accepting new patients
Henry Ford Health System CurrentSince Aug 1, 2017 Accepting new patients
Ambulatory Anesthesia Associates, PC Anesthesiology CurrentSince Sep 1, 2023 Accepting new patients
Henry Ford Macomb Hospital Corporation CurrentSince Jul 14, 2025 Accepting new patients
Henry Ford Macomb Hospital Corporation CurrentSince Jan 2, 1998 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

  • Direct secure messaging: 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.

View all 13

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": "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.

Verify at the official NPI Registry.