Individual provider Active NPI

Jessica T Courtney, CRNA

  • Certified Registered Nurse Anesthetist
  • Dearborn, MI
National Provider Identifier
1659516169
Registry record updated Dec 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
4704231137 Issued in MI
Practice address
18101 Oakwood Blvd
Dearborn, MI 48124-4089
Phone
(313) 593-7000
NPI assigned
Dec 12, 2008
Last updated
Dec 12, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 4704231137 MI Primary

Addresses

Primary practice location

18101 Oakwood Blvd
Dearborn, MI 48124-4089

Mailing address

18101 Oakwood Blvd
Dearborn, MI 48124-4089
Phone (313) 593-7000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, AZ, CA3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20090220000375 MI Practitioner - Certified Registered Nurse Anesthetist (Crna) 9638234933 Reassigns benefits to 5 organizations
I20230106002361 AZ Practitioner - Certified Registered Nurse Anesthetist (Crna) 9638234933 Reassigns benefits to 7 organizations
I20240411000189 CA Practitioner - Certified Registered Nurse Anesthetist (Crna) 9638234933 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Wayne State University School of Medicine, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Saint Mary's Health ServicesGroup PAC ID 4981500436, 175 clinicians
Southwestern Eye Center LTDGroup PAC ID 1850296989, 116 clinicians

Practice addresses (Care Compare)

1215 N Beaver St
Suite 203
Flagstaff, AZ 86001-3126
Phone (928) 773-2249

16001 W 9 Mile Rd
Southfield, MI 48075-4818
Phone (248) 849-3000

200 Jefferson Ave SE
Grand Rapids, MI 49503-4502
Phone (734) 263-2400

269 S Candy LN
Cottonwood, AZ 86326-4158
Phone (928) 639-6000

4921 E Bell Rd
Suite 102
Scottsdale, AZ 85254-6002
Phone (602) 787-9100

7810 N US Hwy 89
Flagstaff, AZ 86004-6255
Phone (928) 522-8375

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
82.13 of 100Reported as group
Quality
66.85
Promoting interoperability
99
Improvement activities
40
Cost
74.4

Merit-based Incentive Payment System (MIPS)

Final score
97.16 of 100Reported as group
Quality
95.73
Improvement activities
40
Cost
75.12

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
95002244CAMDFamily Nurse Practitioner
4704231137MIMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Valley Regional Anesthesia Associates Inc CurrentSince Feb 11, 2024 Accepting new patients
Northern Arizona Healthcare Corporation CurrentSince Dec 24, 2023 Accepting new patients
Community Health Center of Branch County CurrentSince Jun 1, 2025 Accepting new patients
Botsford General Hospital CurrentSince Jun 20, 2023 Accepting new patients
Anesthesia Partners & Management LLC Nurse Anesthetist, Certified Registered CurrentSince Dec 20, 2022 Accepting new patients
Southwestern Eye Center LTD CurrentSince Mar 31, 2025 Accepting new patients
Northern Arizona Healthcare Corporation CurrentSince Dec 24, 2023 Accepting new patients
Henry Ford Health Providence Hospital Nurse Anesthetist, Certified Registered CurrentSince Jul 28, 2025 Accepting new patients
Community Health Center of Branch County CurrentSince Jun 1, 2025 Accepting new patients
Ascend Anesthesia LLC Nurse Anesthetist, Certified Registered CurrentSince Jun 1, 2025 Accepting new patients
Botsford General Hospital Nurse Anesthetist, Certified Registered CurrentSince Jun 20, 2023 Accepting new patients
Barnet Dulaney Perkins Eye Center, PC CurrentSince Feb 25, 2025 Accepting new patients
Henry Ford Health Providence Hospital CurrentSince Jul 28, 2025 Accepting new patients
Sunset Anesthesia, LLC Nurse Anesthetist, Certified Registered CurrentSince May 30, 2023 Accepting new patients
Southwestern Eye Center, LTD CurrentSince Mar 31, 2025 Accepting new patients
Barnet Dulaney Perkins Eye Center, PC CurrentSince Feb 25, 2025 Accepting new patients
Community Health Center of Branch County Current Accepting new patients
Regio T Penna MD, PC Current Accepting new patients
Community Health Center of Branch County Current Accepting new patients
Southwestern Eye Center LTD Current Accepting new patients
Northstar Anesthesia of Michigan III PLLC Nurse Anesthetist, Certified Registered CurrentSince Aug 20, 2020 Accepting new patients
East Valley Endoscopy LLC PastSince May 30, 2023 Accepting new patients
Community Health Center of Branch County Past Accepting new patients

Locations (25 of 46)

3003 Highway 95
Ste 63
Bullhead City, AZ 86442
Phone (928) 763-7555

269 S Candy Ln
Cottonwood, AZ 86326
Phone (928) 634-2251

270 S Candy Ln
Cottonwood, AZ 86326
Phone (928) 634-4202

1215 N Beaver St
Ste 203
Flagstaff, AZ 86001
Phone (928) 773-2249

1020 N San Francisco St
Ste 100
Flagstaff, AZ 86001
Phone (928) 774-2300

4760 E Falcon Dr
Ste 101
Mesa, AZ 85215
Phone (480) 985-7400

1055 S Stapley Dr
Mesa, AZ 85204
Phone (480) 833-9100

6020 E Arbor Ave
Ste 105
Mesa, AZ 85206
Phone (480) 830-2005

103 Medicine Way Rd
Peridot, AZ 85542
Phone (928) 475-1200

4800 N 22nd St
Ste 120
Phoenix, AZ 85016

4600 E Washington St
Ste 300
Phoenix, AZ 85034
Phone (602) 638-1872

3900 E Camelback Rd
Ste 190
Phoenix, AZ 85018
Phone (888) 724-6236

3929 E Bell Rd
Phoenix, AZ 85032
Phone (602) 923-5000

1902 W Union Hills Dr
Unit 41550
Phoenix, AZ 85080

6501 N 19th Ave
Phoenix, AZ 85015
Phone (602) 314-4280

7301 N 16th St
Ste 102
Phoenix, AZ 85020
Phone (602) 772-8600

5430 Distinction Way
Prescott, AZ 86301
Phone (928) 445-1919

815 Ainsworth Dr
Prescott, AZ 86301
Phone (928) 445-2700

3110 Clearwater Dr
Prescott, AZ 86305
Phone (623) 241-6185

4921 E Bell Rd
Ste 102
Scottsdale, AZ 85254
Phone (602) 548-6500

14820 N Del Webb Blvd
Sun City, AZ 85351

5632 E 5th St
Tucson, AZ 85711
Phone (520) 584-8888

1704 W Anklam Rd
Ste 108
Tucson, AZ 85745
Phone (623) 241-6185

2149 W 24th St
Yuma, AZ 85364
Phone (928) 726-1100

2615 Chester Ave
Bakersfield, CA 93301
Phone (661) 381-7545

Interoperability endpoints

  • Direct secure messaging: jessica.courtney.p20@direct.avp.nextgenshare.com

Organizations & group practices 25

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 25

Hospital & facility affiliations 4

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": "1229040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1229040000000",
    "number": "1659516169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18101 OAKWOOD BLVD",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481244089",
            "telephone_number": "313-593-7000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18101 OAKWOOD BLVD",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481244089",
            "telephone_number": "313-593-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COURTNEY",
        "first_name": "JESSICA",
        "middle_name": "T",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-12-12",
        "last_updated": "2008-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MI",
            "license": "4704231137",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dearborn, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 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.