Active NPI
Jane C Jacobson, C.R.N.A.
- Certified Registered Nurse Anesthetist
- Port Huron, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 4704205825
- Practice address
- 1221 Pine Grove Ave
Port Huron, MI 48060-3511 - Phone
- (810) 987-5000
- Fax
- (810) 985-2633
- NPI assigned
- May 6, 2006
- Last updated
- Jul 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 | 4704205825 | MI | Primary |
Addresses
Primary practice location
1221 Pine Grove Ave
Port Huron, MI 48060-3511
Mailing address
1221 Pine Grove Ave
Port Huron, MI 48060-3511
Phone (810) 987-5000
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, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4675 Hill St
Cass City, MI 48726-1008
Phone (989) 912-6275
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4704205825 | MI | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| McLaren Caro Region | Current | Accepting new patients | |
| Asa Staffing Inc | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Hills & Dales General Hospital, Inc. | Current | Accepting new patients | |
| Hills & Dales General Hospital, Inc. | Current | Accepting new patients | |
| Marlette Regional Hospital | Current | Accepting new patients | |
| McKenzie Memorial Hospital | Current | Accepting new patients | |
| McKenzie Memorial Hospital | Current | Accepting new patients | |
| McLaren Caro Region | Current | Accepting new patients | |
| Hills & Dales General Hospital, Inc. | Current | Accepting new patients | |
| Port Huron Hospital Crna Billing, LLC | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| McLaren Port Huron | Past | Accepting new patients |
Locations
1900 Columbus Ave
Bay City, MI 48708
Phone (989) 894-3000
220 E Frank St
Caro, MI 48723
Phone (989) 673-4126
401 N Hooper St
Caro, MI 48723
Phone (517) 673-3141
4672 Hill St
Ste 4
Cass City, MI 48726
Phone (989) 872-4442
4675 Hill St
Cass City, MI 48726
Phone (989) 872-2121
4675 Hill St
Ste B
Cass City, MI 48726
Phone (989) 912-6112
2775 Blake Rd
Jackson, MI 49201
Phone (517) 787-2906
2770 Main St
Marlette, MI 48453
Phone (989) 635-4000
1221 Pine Grove Ave
Port Huron, MI 48060
Phone (810) 989-3300
120 N Delaware St
Sandusky, MI 48471
Phone (810) 648-3770
Organizations & group practices 12
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.
-
- Critical Access Hospital
- Cass City, MI
- NPI 1154367001
-
- Certified Registered Nurse Anesthetist
- Rochester, MI
- NPI 1114378981
Nurse Anesthetist, Certified Registered
-
- Critical Access Hospital
- Marlette, MI
- NPI 1346325214
-
dba McKenzie Health System
- Critical Access Hospital
- Sandusky, MI
- NPI 1497750608
-
- Critical Access Hospital
- Caro, MI
- NPI 1073568978
-
- Critical Access Hospital
- Deckerville, MI
- NPI 1619095718
-
dba Sandusky Rapid Care
- General Practice Physician
- Sandusky, MI
- NPI 1306720529
-
dba Aspire Hill Street Clinic
- Psychiatry Physician
- Cass City, MI
- NPI 1952120859
-
dba Peck Medical Center
- Rural Health Clinic/Center
- Peck, MI
- NPI 1437917598
-
- Rural Health Clinic/Center
- Vassar, MI
- NPI 1699396523
-
- General Acute Care Hospital
- Port Huron, MI
- NPI 1982685384
-
- Certified Registered Nurse Anesthetist
- Port Huron, MI
- NPI 1538455159
Nurse Anesthetist, Certified Registered
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146873600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1710936091",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1221 PINE GROVE AVE",
"city": "PORT HURON",
"state": "MI",
"postal_code": "480603511",
"telephone_number": "810-987-5000",
"fax_number": "810-985-2633"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1221 PINE GROVE AVE",
"city": "PORT HURON",
"state": "MI",
"postal_code": "480603511",
"telephone_number": "810-987-5000",
"fax_number": "810-985-2633"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JACOBSON",
"first_name": "JANE",
"middle_name": "C",
"credential": "C.R.N.A.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-06",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "MI",
"license": "4704205825",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Port Huron, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 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.