Active NPI
Jenny Ann Beauregard, CRNA
- Certified Registered Nurse Anesthetist
- Warren, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 4704107072
- Practice address
- 21230 Dequindre Rd
Warren, MI 48091-2279 - Phone
- (313) 837-9651
- NPI assigned
- Dec 20, 2005
- 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 | 4704107072 | MI | Primary |
Addresses
Primary practice location
21230 Dequindre Rd
Warren, MI 48091-2279
Mailing address
14820 Artesian St
Detroit, MI 48223-2229
Phone (313) 837-9651
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 74.5 of 100
- Quality
- 70
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4704107072 | MI | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ambulatory Anesthesia Associates, PC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| PSJ Anesthesia PC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Alliance Anesthesia PLLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Resource Anesthesiology Associates of Mi PC | Current | Accepting new patients | |
| Straith Hospital for Special Surgery | Past | Accepting new patients | |
| Anesthesia Office Consultants, PLLC | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| St. Joseph Mercy Hospital Crna Group | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
Locations
4800 S Saginaw St
Ste 1845
Flint, MI 48507
Phone (810) 275-9152
6245 Inkster Rd
Garden City, MI 48135
Phone (734) 421-3300
3400 E Jolly Rd
Lansing, MI 48910
Phone (517) 272-1063
1707 Lake Lansing Rd
Lansing, MI 48912
Phone (517) 267-0033
826 W King St
Owosso, MI 48867
Phone (989) 720-2273
16001 W 9 Mile Rd
Southfield, MI 48075
Phone (248) 424-3000
230 W Maple Rd
Troy, MI 48084
Phone (248) 244-1500
21230 Dequindre Rd
Warren, MI 48091
Phone (586) 427-1000
33545 Cherry Hill Rd
#O
Westland, MI 48186
Phone (734) 729-7960
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.
-
- Certified Registered Nurse Anesthetist
- Flint, MI
- NPI 1063880052
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Monroe, MI
- NPI 1952350555
Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Southfield, MI
- NPI 1275905796
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Saginaw, MI
- NPI 1568755882
-
- Certified Registered Nurse Anesthetist
- Dearborn, MI
- NPI 1396790242
Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Pontiac, MI
- NPI 1568493047
Nurse Anesthetist, Certified Registered
-
- General Acute Care Hospital
- Southfield, MI
- NPI 1710037221
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1135036800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1720064934",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14820 ARTESIAN ST",
"city": "DETROIT",
"state": "MI",
"postal_code": "482232229",
"telephone_number": "313-837-9651"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21230 DEQUINDRE RD",
"city": "WARREN",
"state": "MI",
"postal_code": "480912279",
"telephone_number": "313-837-9651"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BEAUREGARD",
"first_name": "JENNY",
"middle_name": "ANN",
"name_prefix": "Mrs.",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-12-20",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "MI",
"license": "4704107072",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Warren, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- 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.