Active NPI
Jennifer Ayoub Marks, CRNA
- Certified Registered Nurse Anesthetist
- Detroit, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 4704190081
- Practice address
- 22101 Moross Rd
Detroit, MI 48236-2148 - Phone
- (313) 343-6864
- NPI assigned
- Oct 11, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 336435 | NC | |
| Certified Registered Nurse Anesthetist | 367500000X | 4704190081 | MI | Primary |
Addresses
Primary practice location
22101 Moross Rd
Detroit, MI 48236-2148
Mailing address
530 Harleys Cove Road
Waynesville, NC 28785
Phone (248) 372-1760
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
509 Biltmore Ave
Asheville, NC 28801-4601
Phone (828) 213-2325
Hospital & facility affiliations
- Memorial Mission Hospital and Asheville Surgery Ce
Merit-based Incentive Payment System (MIPS)
- Final score
- 90.39 of 100
- Quality
- 77.7
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6685 | NC | MD | Professional Counselor |
| 336435 | NC | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mission Health Community Multispecialty Providers, LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Mission Community Anesthesiology Specialists LLC | Current | Accepting new patients | |
| Medstream Anesthesia PLLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Mission Community Anesthesiology Specialists LLC | Current | Accepting new patients | |
| Beaumont West Bloomfield ASC LLC | Past | Accepting new patients | |
| Beaumont West Bloomfield ASC LLC | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| Superior Anesthetists Associates, Inc. | Past | Accepting new patients | |
| Henry Ford West Bloomfield Hospital | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
Locations
509 Biltmore Ave
Asheville, NC 28801
Phone (828) 213-2325
262 Leroy George Dr
Clyde, NC 28721
Phone (828) 452-8210
830 Rockford St
Mount Airy, NC 27030
Phone (336) 719-7000
2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426
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 and National Provider Directory roles.
-
- Anesthesiology Physician
- Asheville, NC
- NPI 1457719130
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Richardson, TX
- NPI 1649616160
NC, Nurse Anesthetist, Certified Registered
-
- Clinical Social Worker
- Asheville, NC
- NPI 1235609538
-
- Certified Respiratory Therapist
- Asheville, NC
- NPI 1528538766
-
- Certified Registered Nurse Anesthetist
- W Bloomfield, MI
- NPI 1275790206
Nurse Anesthetist, Certified Registered
-
- Ambulatory Surgical Clinic/Center
- West Bloomfield, MI
- NPI 1982802203
-
- Anesthesiology Physician
- West Bloomfield, MI
- NPI 1518104686
Nurse Anesthetist, Certified Registered
-
- Specialist
- Troy, MI
- NPI 1831144518
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Asheville, NC
- NPI 1962987677
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160524800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1706227200000",
"number": "1609964097",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "530 HARLEYS COVE ROAD",
"city": "WAYNESVILLE",
"state": "NC",
"postal_code": "28785",
"telephone_number": "248-372-1760"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22101 MOROSS RD",
"city": "DETROIT",
"state": "MI",
"postal_code": "482362148",
"telephone_number": "313-343-6864"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARKS",
"first_name": "JENNIFER",
"middle_name": "AYOUB",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-11",
"last_updated": "2024-01-26",
"certification_date": "2024-01-25",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "NC",
"license": "336435",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "MI",
"license": "4704190081",
"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 Jan 26, 2024; 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.