Active NPI
Jaime T Bagnell-Leonardo, CRNA
- Certified Registered Nurse Anesthetist
- Ann Arbor, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 4704209675
- Practice address
- 1500 E Medical Center Dr
Ann Arbor, MI 48109-5000 - Phone
- (734) 936-4000
- NPI assigned
- Feb 28, 2006
- Last updated
- Mar 10, 2020
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 4704209675 | MI | Primary |
Addresses
Primary practice location
1500 E Medical Center Dr
Ann Arbor, MI 48109-5000
Mailing address
3621 S State St
Ann Arbor, MI 48108-1633
Phone (734) 647-5299
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 430F364420 | Other | MI | BCBSM |
| 4327205 | 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, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1500 E Medical Ctr Dr
Ann Arbor, MI 48109-5000
Phone (734) 936-4000
1840 Wealthy St SE
Corewell Health Medical Group West
Grand Rapids, MI 49506-2921
Phone (616) 885-5000
4270 Plymouth Rd
Ann Arbor, MI 48109-2700
Phone (734) 936-4000
4444 Kalamazoo Ave SE
200 Corewell Health Medical Group West
Kentwood, MI 49508-4600
Phone (616) 391-5600
500 Osborn Blvd
Sault S Marie, MI 49783-1822
Phone (906) 635-4460
7500 Challis Rd
Brighton, MI 48116-9416
Phone (734) 936-4000
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Regents of the University of Michigan | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| PSJ Anesthesia PC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Northwestern Services, LLC | Current | Accepting new patients | |
| West Michigan Aas LLC | Current | Accepting new patients | |
| Novi Aas LLC | Current | Accepting new patients | |
| Spectrum Health Primary Care Partners | Current | Accepting new patients | |
| Mymichigan Medical Center Sault | Current | Accepting new patients | |
| Michigan Crnas Staffing LLC | Current | Accepting new patients | |
| Northwestern Services, LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Southfield Rehabilitation Company | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Mymichigan Medical Center Sault | Current | Accepting new patients | |
| Spectrum Health Primary Care Partners | Current | Accepting new patients | |
| Regents of the University of Michigan | Current | Accepting new patients | |
| Ambulatory Anesthesia Associates, PC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Kalamazoo Anesthesiology P C | Current | Accepting new patients | |
| Southfield Rehabilitation Company | Current | Accepting new patients | |
| Straith Hospital for Special Surgery | Past | 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 |
Locations
3621 S State St
#700
Ann Arbor, MI 48108
1500 E Medical Center Dr
#1H247
Ann Arbor, MI 48109
Phone (734) 936-4280
3621 S State St
Ann Arbor, MI 48108
Phone (734) 647-5229
4270 Plymouth Rd
Ann Arbor, MI 48109
Phone (734) 232-3000
1500 E Medical Center Dr
Ann Arbor, MI 48109
Phone (734) 936-4280
18101 Oakwood Blvd
Dearborn, MI 48124
Phone (313) 593-8780
28050 Grand River Ave
Farmington Hills, MI 48336
Phone (248) 471-8000
30055 Northwestern Hwy
Ste L-60
Farmington Hills, MI 48334
Phone (248) 265-6555
4024 Park East Ct SE
Grand Rapids, MI 49546
Phone (231) 592-3102
900 Peeler St
Kalamazoo, MI 49008
Phone (269) 345-8618
4444 Kalamazoo Ave SE
Ste 200
Kentwood, MI 49508
Phone (616) 391-5600
4000 Wellness Dr
Midland, MI 48670
Phone (844) 832-1956
47601 Grand River Ave
Novi, MI 48374
Phone (248) 465-4100
25500 Meadowbrook Rd
Ste 110
Novi, MI 48375
Phone (248) 477-0220
43422 W Oaks Dr
Novi, MI 48377
Phone (248) 229-4658
500 Osborn Blvd
Sault South Marie, MI 49783
Phone (906) 635-4350
16001 W 9 Mile Rd
Southfield, MI 48075
Phone (248) 424-3000
22401 Foster Winter Dr
Southfield, MI 48075
Phone (248) 423-4100
1560 E Maple Rd
#100
Troy, MI 48083
Phone (248) 817-2001
230 W Maple Rd
Troy, MI 48084
Phone (248) 244-1500
Organizations & group practices 20
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.
-
- Certified Registered Nurse Anesthetist
- Ann Arbor, MI
- NPI 1528010428
Nurse Anesthetist, Certified Registered
-
dba Corewell Health Medical Group West
- Internal Medicine Physician
- Grand Rapids, MI
- NPI 1235188673
-
- Emergency Medical Services (Emergency Medicine) Physician
- Sault Sainte Marie, MI
- NPI 1639190382
-
- Anesthesiology Physician
- Monroe, MI
- NPI 1952350555
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Kalamazoo, MI
- NPI 1407821796
-
- Anesthesiology Physician
- Novi, MI
- NPI 1851666424
-
- Certified Registered Nurse Anesthetist
- Farmington Hills, MI
- NPI 1215106679
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Novi, MI
- NPI 1598176919
-
- Certified Registered Nurse Anesthetist
- Southfield, MI
- NPI 1275905796
Nurse Anesthetist, Certified Registered
-
dba Surgeons Choice Medical Center
- General Acute Care Hospital
- Southfield, MI
- NPI 1790785095
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Novi, MI
- NPI 1295149227
-
- Anesthesiology Physician
- Sault Sainte Marie, MI
- NPI 1457305674
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Chippewa County War Memorial Hospital, Inc
- General Acute Care Hospital
- Sault Sainte Marie, MI
- NPI 1295756948
-
dba Corewell Health Pennock Hospital
- Critical Access Hospital
- Hastings, MI
- NPI 1932695525
-
dba University of Michigan Health System
- General Acute Care Hospital
- Ann Arbor, MI
- NPI 1003878539
-
dba Corewell Health Grand Rapids Hospital
- General Acute Care Hospital
- Grand Rapids, MI
- NPI 1922090554
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141084800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1583798400000",
"number": "1689640526",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3621 S STATE ST",
"city": "ANN ARBOR",
"state": "MI",
"postal_code": "481081633",
"telephone_number": "734-647-5299"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1500 E MEDICAL CENTER DR",
"city": "ANN ARBOR",
"state": "MI",
"postal_code": "481095000",
"telephone_number": "734-936-4000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAGNELL-LEONARDO",
"first_name": "JAIME",
"middle_name": "T",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-28",
"last_updated": "2020-03-10",
"certification_date": "2020-03-10",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "MI",
"license": "4704209675",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBSM",
"identifier": "430F364420",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4327205",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Ann Arbor, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2020; 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.