Active NPI
Benjamin James Dehaan, CRNA
- Certified Registered Nurse Anesthetist
- Cadillac, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 34242
- Practice address
- 400 Hobart St
Cadillac, MI 49601-2331 - Phone
- (231) 876-7301
- Fax
- (231) 876-7310
- NPI assigned
- Oct 27, 2021
- Sex
- Male
- Sole proprietor
- Yes
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 | 1700540663 | MI | |
| Certified Registered Nurse Anesthetist | 367500000X | 34242 | TN | Primary |
Addresses
Primary practice location
400 Hobart St
Cadillac, MI 49601-2331
Mailing address
1105 Sixth St
Traverse City, MI 49684-2345
Phone (231) 935-5000
Other practice location 1
315 Hospital Dr
Madison, TN 37115-5030
Phone (615) 868-6503
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI, TN
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
110 29TH Ave N
Nashville, TN 37203-1448
Phone (615) 327-4304
110 29TH N Ave
Suite 202
Nashville, TN 37203-1448
Phone (615) 327-4304
2000 Church St
Nashville, TN 37236-0001
Phone (615) 284-5555
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 203406 | TN | MD | Registered Nurse |
| 1700540663 | MI | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anesthesia Medical Group, PC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Munson Healthcare Cadillac | Current | Accepting new patients | |
| Munson Healthcare Cadillac | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Munson Healthcare Cadillac | Past | Accepting new patients |
Locations
3775 Momentum Pl
Chicago, IL 60689
400 Hobart St
Cadillac, MI 49601
Phone (231) 876-7200
1105 Sixth St
Traverse City, MI 49684
Phone (231) 922-9000
110 29th Ave N
Ste 202
Nashville, TN 37203
Phone (615) 327-7870
12222 Merit Dr
Ste 600
Dallas, TX 75251
Phone (972) 361-1844
Organizations & group practices 4
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
- Nashville, TN
- NPI 1215932413
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Cadillac, MI
- NPI 1871991596
Nurse Anesthetist, Certified Registered
-
- Psychiatry Physician
- Traverse City, MI
- NPI 1720955081
-
- Surgery Physician
- Cadillac, MI
- NPI 1336547041
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Nashville, TN
- NPI 1629025648
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1635292800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783987200000",
"number": "1700540663",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1105 SIXTH ST",
"city": "TRAVERSE CITY",
"state": "MI",
"postal_code": "496842345",
"telephone_number": "231-935-5000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 HOBART ST",
"city": "CADILLAC",
"state": "MI",
"postal_code": "496012331",
"telephone_number": "231-876-7301",
"fax_number": "231-876-7310"
}
],
"practiceLocations": [
{
"address_1": "315 Hospital Dr",
"address_purpose": "LOCATION",
"city": "Madison",
"state": "TN",
"postal_code": "371155030",
"country_code": "US",
"telephone_number": "615-868-6503",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DEHAAN",
"first_name": "BENJAMIN",
"middle_name": "JAMES",
"credential": "CRNA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-10-27",
"last_updated": "2026-07-14",
"certification_date": "2026-07-14",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "MI",
"license": "1700540663",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "TN",
"license": "34242",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cadillac, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 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.