Active NPI
Jennifer Lynn Thomas, CRNA
- Certified Registered Nurse Anesthetist
- Grayling, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 4704304278
- Practice address
- 1100 E Michigan Ave
Grayling, MI 49738-1312 - Phone
- (989) 348-5461
- NPI assigned
- Jul 28, 2018
- 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 | 4704304278 | MI | Primary |
Addresses
Primary practice location
1100 E Michigan Ave
Grayling, MI 49738-1312
Mailing address
412 N Spruce St
Traverse City, MI 49684-2155
Phone (231) 499-1773
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)
1105 6TH St
Traverse City, MI 49684-2345
Phone (231) 935-5000
4100 Park Forest Dr
Traverse City, MI 49684-7331
Phone (231) 392-8900
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4704304278 | MI | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mymichigan Medical Center Saginaw | Current | Accepting new patients | |
| Munson Medical Center | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Grayling Anesthesia Associates PC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Munson Medical Group | Current | Accepting new patients | |
| Munson Medical Group | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Mymichigan Medical Center Saginaw | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Munson Medical Group | Current | Accepting new patients |
Locations
2891 Momentum Pl
Chicago, IL 60689
1100 E Michigan Ave
Grayling, MI 49738
Phone (989) 348-0317
800 S Washington Ave
Saginaw, MI 48601
Phone (989) 776-8000
4100 Park Forest Dr
Traverse City, MI 49684
Phone (231) 392-8900
1400 Medical Campus Dr
Traverse City, MI 49684
Phone (231) 935-8000
1105 Sixth St
Ste 103
Traverse City, MI 49684
Phone (231) 935-6455
1105 Sixth St
Traverse City, MI 49684
Phone (231) 922-9000
1200 Sixth St
Ste 200
Traverse City, MI 49684
Organizations & group practices 7
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
- Traverse City, MI
- NPI 1710735287
Nurse Anesthetist, Certified Registered
-
dba Traverse Heart and Vascular
- Cardiovascular Disease Physician
- Traverse City, MI
- NPI 1821398322
-
- Anesthesiology Physician
- Grayling, MI
- NPI 1710313648
Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Saginaw, MI
- NPI 1457306185
Nurse Anesthetist, Certified Registered
-
dba MHC Cedarwoods Internal Medicine and Geriatrics
- Geriatric Medicine (Internal Medicine) Physician
- Traverse City, MI
- NPI 1326801440
-
- Anesthesiology Physician
- Traverse City, MI
- NPI 1972225571
Nurse Anesthetist, Certified Registered
-
dba Ascension Medical Group Riverfront Cardiology
- Cardiovascular Disease Physician
- Saginaw, MI
- NPI 1467736132
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- 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": "1532736000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1662940800000",
"number": "1710465141",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "412 N SPRUCE ST",
"city": "TRAVERSE CITY",
"state": "MI",
"postal_code": "496842155",
"telephone_number": "231-499-1773"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1100 E MICHIGAN AVE",
"city": "GRAYLING",
"state": "MI",
"postal_code": "497381312",
"telephone_number": "989-348-5461"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THOMAS",
"first_name": "JENNIFER",
"middle_name": "LYNN",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-07-28",
"last_updated": "2022-09-12",
"certification_date": "2022-09-12",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "MI",
"license": "4704304278",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Grayling, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 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.