Active NPI
Jennifer L Simons, CRNA
- Certified Registered Nurse Anesthetist
- Charlevoix, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 4704246607
- Practice address
- 14700 Lake Shore Dr
Charlevoix, MI 49720-1999 - Phone
- (231) 547-4024
- NPI assigned
- Jun 18, 2010
- Last updated
- Apr 13, 2026
- 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 |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 4704246607 | MI | Primary |
Addresses
Primary practice location
14700 Lake Shore Dr
Charlevoix, MI 49720-1999
Mailing address
10171 E Shoreside CT
Traverse City, MI 49684-9567
Other practice location 1
3830 W Front St
Traverse City, MI 49684-8153
Phone (231) 935-8101
Other practice location 2
1105 Sixth St
Traverse City, MI 49684-2386
Phone (231) 935-5770 ext. 10
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679894117 | Medicaid | MI |
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, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1200 6TH St
Traverse City, MI 49684-2369
Phone (231) 935-5800
1465 E Parkdale Ave
Manistee, MI 49660-9709
Phone (231) 398-1000
14700 Lake Shore Dr
Charlevoix, MI 49720-1931
Phone (231) 547-4024
224 Park Ave
Frankfort, MI 49635-9658
Phone (231) 352-2200
400 Hobart St
Cadillac, MI 49601-2331
Phone (231) 876-3876
4100 Park Forest Dr
Traverse City, MI 49684-7331
Phone (231) 392-8900
825 N Ctr Ave
Gaylord, MI 49735-1592
Phone (989) 731-2201
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Munson Healthcare Charlevoix Hospital | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Munson Healthcare Charlevoix Hospital | Current | Accepting new patients | |
| Munson Medical Group | Current | Accepting new patients | |
| Munson Healthcare Otsego Memorial Hospital | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Munson Healthcare Charlevoix Hospital | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Munson Healthcare Otsego Memorial Hospital | Current | Accepting new patients | |
| Capital Area Anesthesia PC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Munson Medical Center | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Munson Healthcare Cadillac | Current | Accepting new patients | |
| Munson Healthcare Otsego Memorial Hospital | Current | Accepting new patients | |
| Munson Healthcare Otsego Memorial Hospital | Current | Accepting new patients | |
| Munson Medical Group | Current | Accepting new patients | |
| Munson Healthcare Cadillac | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Munson Medical Group | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Munson Healthcare Charlevoix Hospital | Current | Accepting new patients |
Locations
3775 Momentum Pl
Chicago, IL 60689
4880 Momentum Pl
Chicago, IL 60689
400 Hobart St
Cadillac, MI 49601
Phone (231) 876-7200
14700 Lake Shore Dr
Charlevoix, MI 49720
Phone (231) 547-3840
825 N Center Ave
Gaylord, MI 49735
Phone (989) 731-2100
829 N Center Ave
Ste 210
Gaylord, MI 49735
Phone (989) 731-7860
2727 S Pennsylvania Ave
Lansing, MI 48910
Phone (517) 975-3750
2900 Collins Rd
Lansing, MI 48910
Phone (517) 975-7500
401 W Greenlawn Ave
Lansing, MI 48910
Phone (517) 334-2286
1105 Sixth St
Traverse City, MI 49684
Phone (231) 922-9000
1105 Sixth St
Ste 103
Traverse City, MI 49684
Phone (231) 935-6455
1200 Sixth St
Ste 200
Traverse City, MI 49684
1400 Medical Campus Dr
Traverse City, MI 49684
Phone (231) 935-8000
4100 Park Forest Dr
Traverse City, MI 49684
Phone (231) 392-8900
4100 Park Forest Dr
Ste 210
Traverse City, MI 49684
Phone (231) 935-5770
Organizations & group practices 16
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.
-
dba Munson Healthcare Cadillac Anesthesia
- Anesthesiology Physician
- Cadillac, MI
- NPI 1871991596
Nurse Anesthetist, Certified Registered
-
dba Physician Clinic of Charlevoix
- Pediatrics Physician
- Charlevoix, MI
- NPI 1326124058
-
- Certified Registered Nurse Anesthetist
- Gaylord, MI
- NPI 1376568865
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Traverse City, MI
- NPI 1710735287
Nurse Anesthetist, Certified Registered
-
dba Traverse Heart and Vascular
- Cardiovascular Disease Physician
- Traverse City, MI
- NPI 1821398322
-
- Pain Medicine (Anesthesiology) Physician
- Okemos, MI
- NPI 1538105010
Nurse Anesthetist, Certified Registered
-
- Ambulatory Surgical Clinic/Center
- Traverse City, MI
- NPI 1770577637
-
- Psychiatry Physician
- Traverse City, MI
- NPI 1720955081
-
- Certified Registered Nurse Anesthetist
- Charlevoix, MI
- NPI 1063598845
Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Charlevoix, MI
- NPI 1417033143
Nurse Anesthetist, Certified Registered
-
dba Munson Healthcare Charlevoix Walk-In Clinic
- Family Medicine Physician
- Charlevoix, MI
- NPI 1972367043
-
- Anesthesiology Physician
- Gaylord, MI
- NPI 1518982073
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Charlevoix, MI
- NPI 1346260692
-
- General Acute Care Hospital
- Gaylord, MI
- NPI 1124028972
-
- General Acute Care Hospital
- Traverse City, MI
- NPI 1952307852
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1276819200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1776038400000",
"number": "1679894117",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10171 E SHORESIDE CT",
"city": "TRAVERSE CITY",
"state": "MI",
"postal_code": "496849567"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14700 LAKE SHORE DR",
"city": "CHARLEVOIX",
"state": "MI",
"postal_code": "497201999",
"telephone_number": "231-547-4024"
}
],
"practiceLocations": [
{
"address_1": "3830 W Front St",
"address_purpose": "LOCATION",
"city": "Traverse City",
"state": "MI",
"postal_code": "496848153",
"country_code": "US",
"telephone_number": "231-935-8101",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1105 Sixth St",
"address_purpose": "LOCATION",
"city": "Traverse City",
"state": "MI",
"postal_code": "496842386",
"country_code": "US",
"telephone_number": "231-935-5770 x10",
"fax_number": "231-935-5000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SIMONS",
"first_name": "JENNIFER",
"middle_name": "L",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-06-18",
"last_updated": "2026-04-13",
"certification_date": "2026-04-13",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "MI",
"license": "4704246607",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1679894117",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Charlevoix, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2026; 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.