Active NPI
Justin West, CRNA
- Certified Registered Nurse Anesthetist
- Jackson, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 4704304021
- Practice address
- 205 N East Ave
Jackson, MI 49201-1753 - Phone
- (517) 205-7836
- NPI assigned
- Jan 18, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 125160 | VA | |
| Certified Registered Nurse Anesthetist | 367500000X | APRN11001696 | FL | |
| Certified Registered Nurse Anesthetist | 367500000X | 4704304021 | MI | Primary |
Addresses
Primary practice location
205 N East Ave
Jackson, MI 49201-1753
Mailing address
1058 N Tamiami TRL
Apt 108 #231
Sarasota, FL 34236-2427
Phone (734) 846-2388
Other practice location 1
1261 S Tamiami Trl
Sarasota, FL 34239-2219
Phone (941) 366-1164
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
205 N E Ave
Henry Ford Allegiance Health
Jackson, MI 49201-1753
Phone (517) 205-4800
5640 N Adrian Hwy
Adrian, MI 49221-8318
Phone (419) 291-4491
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 125160 | VA | MD | Anesthesiology Physician |
| APRN11001696 | FL | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Henry Ford Health St. John Hospital | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Superior Anesthetists Associates, Inc. | Current | Accepting new patients | |
| Northstar Anesthesia of Michigan III PLLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Henry Ford Health St. John Hospital | Current | Accepting new patients | |
| Nsa Pain Services of Michigan III, PLLC | Current | Accepting new patients | |
| Promedica Central Corporation of Michigan | Anesthesiology | Current | Accepting new patients |
| Sarasota Anesthesia | Past | Accepting new patients |
Locations
7915 Solutions Ctr Dr
Chicago, IL 60677
5640 N Adrian Hwy
Adrian, MI 49221
Phone (419) 291-3000
22101 Moross Rd
Detroit, MI 48236
Phone (313) 343-3248
5202 Miller Rd
Flint, MI 48507
Phone (810) 720-8900
3175 Smith Rd
Lambertville, MI 48144
Phone (734) 856-5494
718 N Macomb St
Monroe, MI 48162
Phone (734) 212-3097
920 River Centre Dr
Port Huron, MI 48060
Phone (810) 984-5200
10000 Telegraph Rd
Taylor, MI 48180
Phone (313) 295-5000
200 E Russell Rd
Unit C
Tecumseh, MI 49286
Phone (517) 424-3883
33155 Annapolis St
Wayne, MI 48184
Phone (734) 467-4042
Interoperability endpoints
- jwest790539@direct.hfhs.org
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.
-
- Family Medicine Physician
- Toledo, OH
- NPI 1588624696
Anesthesiology, MI
-
- Certified Registered Nurse Anesthetist
- Jackson, MI
- NPI 1598776718
-
- Certified Registered Nurse Anesthetist
- Detroit, MI
- NPI 1598896995
Nurse Anesthetist, Certified Registered
-
- Pain Medicine (Anesthesiology) Physician
- Taylor, MI
- NPI 1376169524
-
- Specialist
- Troy, MI
- NPI 1831144518
-
- Pain Medicine (Anesthesiology) Physician
- Irving, TX
- NPI 1972126209
MI, Nurse Anesthetist, Certified Registered
-
- General Acute Care Hospital
- Chicago, IL
- NPI 1023088168
-
- General Acute Care Hospital
- Sarasota, FL
- NPI 1245663509
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Monroe, MI
- NPI 1811097223
-
- General Acute Care Hospital
- Jackson, MI
- NPI 1053403402
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1547769600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1652054400000",
"number": "1639643075",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1058 N TAMIAMI TRL",
"address_2": "APT 108 #231",
"city": "SARASOTA",
"state": "FL",
"postal_code": "342362427",
"telephone_number": "734-846-2388"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "205 N EAST AVE",
"city": "JACKSON",
"state": "MI",
"postal_code": "492011753",
"telephone_number": "517-205-7836"
}
],
"practiceLocations": [
{
"address_1": "1261 S Tamiami Trl",
"address_purpose": "LOCATION",
"city": "Sarasota",
"state": "FL",
"postal_code": "342392219",
"country_code": "US",
"telephone_number": "941-366-1164",
"fax_number": "941-365-1387",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WEST",
"first_name": "JUSTIN",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-01-18",
"last_updated": "2022-05-09",
"certification_date": "2022-05-09",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "VA",
"license": "125160",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "FL",
"license": "APRN11001696",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "MI",
"license": "4704304021",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jackson, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2022; 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.