Jerry Robert Jurecic, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

4704269918 Issued in MI

Practice address

580 W College Ave
Marquette, MI 49855-2736

Phone

(906) 225-3035

Fax

(906) 225-3697

NPI assigned

Jan 10, 2013

Last updated

Jan 10, 2013By 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

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

South Shore Anesthesia StaffingGroup PAC ID 0547686677, 4 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Munising Memorial Hospital Hospital, Munising, MI, CCN 231308

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

Practice roles

Locations

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.

• South Shore Anesthesia Staffing

  • Certified Registered Nurse Anesthetist
  • Marquette, MI
  • NPI 1013525112

  Nurse Anesthetist, Certified Registered

  Medicare reassignment Care Compare group NPD
• Acquisition Bell Hospital LLC

  dba UP Health System Bell

  • Critical Access Hospital
  • Ishpeming, MI
  • NPI 1699101345
  Medicare reassignment NPD
• Baraga County Memorial Hospital

  • Critical Access Hospital
  • L'Anse, MI
  • NPI 1558479824
  Medicare reassignment NPD
• Acquisition Bell Hospital LLC

  dba UP Health System Bell

  • Anesthesiology Physician
  • Ishpeming, MI
  • NPI 1013789015
  NPD
• Upper Michigan Associates LLC

  dba Upper Michigan Surgery Center

  • Ambulatory Surgical Clinic/Center
  • Marquette, MI
  • NPI 1184245771
  NPD

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

• Munising Memorial Hospital Association

  dba Munising Memorial Hospital

  • Critical Access Hospital
  • Munising, MI
  • NPI 1417035536
  Care Compare affiliation

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

{
    "created_epoch": "1357776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1357776000000",
    "number": "1821335902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "755 S VANDENBOOM RD",
            "city": "MARQUETTE",
            "state": "MI",
            "postal_code": "498559455",
            "telephone_number": "906-362-3312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "580 W COLLEGE AVE",
            "city": "MARQUETTE",
            "state": "MI",
            "postal_code": "498552736",
            "telephone_number": "906-225-3035",
            "fax_number": "906-225-3697"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JURECIC",
        "first_name": "JERRY",
        "middle_name": "ROBERT",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-01-10",
        "last_updated": "2013-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MI",
            "license": "4704269918",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jasmine Joseph, MD
• Kaitlyn Marie Joyce, DO
• Joyful Raine Therapy and Holistic Care LLC
• Gabrielle Juidici
• Anthony Joseph Jurecic, NP-C
• K.T. P.T., LLC
• Laura Kagy, CCAR
• Dorothy S Kahler, PSYD
• Kyle Kakuk, MSN, APRN, PMHNP-BC
• Jaime Kangas

• Certified Registered Nurse Anesthetist in Marquette, MI
• Providers in Marquette, 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 Jan 10, 2013; 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.