Jason Gerald Rewalt, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

4704282799 Issued in MI

Practice address

1221 Pine Grove Ave
Port Huron, MI 48060-3511

Phone

(810) 987-5000

NPI assigned

Sep 27, 2016

Last updated

Sep 27, 2016By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Specialty

Certified Registered Nurse Anesthetist (Crna)

Education

Wayne State University School of Medicine, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Asa Staffing IncGroup PAC ID 3971898644, 146 clinicians

Lakeshore Surgery Anesthesia BillingGroup PAC ID 6709321268, 8 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• McLaren Port Huron Hospital, Port Huron, MI, CCN 230216
• McLaren Macomb Hospital, Mount Clemens, MI, CCN 230227

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jrewalt1148958@direct.hfhs.org

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.

• Asa Staffing Inc

  • Certified Registered Nurse Anesthetist
  • Rochester, MI
  • NPI 1114378981

  Nurse Anesthetist, Certified Registered

  Medicare reassignment Care Compare group NPD
• Lakeshore Surgery Anesthesia Billing

  • Certified Registered Nurse Anesthetist
  • Fort Gratiot, MI
  • NPI 1417706342

  Nurse Anesthetist, Certified Registered

  Medicare reassignment Care Compare group NPD
• Henry Ford Health River District Hospital

  • Certified Registered Nurse Anesthetist
  • East China, MI
  • NPI 1225102569

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Macomb Anesthesia, PC

  • Anesthesiology Physician
  • Clinton Township, MI
  • NPI 1639248206
  Medicare reassignment NPD
• Prime Healthcare Services-Port Huron LLC

  dba Lake Huron Medical Center

  • Certified Registered Nurse Anesthetist
  • Port Huron, MI
  • NPI 1912525361

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Northstar Anesthesia of Michigan III PLLC

  • Pain Medicine (Anesthesiology) Physician
  • Irving, TX
  • NPI 1972126209

  MI, Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Henry Ford Health River District Hospital

  • General Acute Care Hospital
  • East China, MI
  • NPI 1619941333
  NPD
• Prime Healthcare Services-Port Huron LLC

  dba Lake Huron Medical Center

  • Radiation Oncology Physician
  • Port Huron, MI
  • NPI 1902407844
  NPD
• McLaren Port Huron

  • General Acute Care Hospital
  • Port Huron, MI
  • NPI 1982685384
  NPD (past)
• Prime Healthcare Services-Port Huron LLC

  • General Acute Care Hospital
  • Port Huron, MI
  • NPI 1306227764
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• McLaren Macomb

  • Psychiatric Hospital Unit
  • Shelby Township, MI
  • NPI 1184206385
  Care Compare affiliation
• McLaren Macomb

  • General Acute Care Hospital
  • Mount Clemens, MI
  • NPI 1316938327
  Care Compare affiliation
• McLaren Port Huron

  • General Acute Care Hospital
  • Port Huron, MI
  • NPI 1982685384
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1474934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1474934400000",
    "number": "1790234011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37583 MULBERRY LN",
            "city": "RICHMOND",
            "state": "MI",
            "postal_code": "480621662",
            "telephone_number": "586-242-0687"
        },
        {
            "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"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REWALT",
        "first_name": "JASON",
        "middle_name": "GERALD",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-09-27",
        "last_updated": "2016-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MI",
            "license": "4704282799",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nick J Reina, MD
• Leonard Reiter II
• Richard Charles Relken, M.D.
• Renal Center Physicians
• Casey Renno, AGNP-C
• Laura Reynolds
• Riad R. Hajjar MD PC
• Gerald M Rice, CRNA
• Madison Leigh Rich I
• Danielle Richard

• Certified Registered Nurse Anesthetist in Port Huron, MI
• Providers in Port Huron, MI by specialty
• Certified Registered Nurse Anesthetist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2016; 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.

Verify at the official NPI Registry.