Active NPI
Kimberly J Jasinski, CRNA
- Certified Registered Nurse Anesthetist
- Dearborn, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 4704214433
- Practice address
- 18101 Oakwood Blvd
Dearborn, MI 48124-4089 - Phone
- (313) 593-7820
- Fax
- (313) 593-8894
- NPI assigned
- Sep 15, 2006
- Last updated
- Nov 3, 2023
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | APRN.CRNA.019901 | OH | |
| Certified Registered Nurse Anesthetist | 367500000X | 4704214433 | MI | Primary |
Addresses
Primary practice location
18101 Oakwood Blvd
Dearborn, MI 48124-4089
Mailing address
18101 Oakwood Blvd
Dearborn, MI 48124-4089
Phone (313) 593-7820
Other practice location 1
5700 Monroe St Unit 102
Sylvania, OH 43560-2779
Phone (419) 893-7996
Other practice location 2
500 Osborn Blvd
Sault Sainte Marie, MI 49783-1822
Phone (190) 625-3102
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4835680 | Medicaid | MI | |
| 4486604 | Medicaid | MI |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | kjasinski92388@epicdirect.promedica.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI, OH
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Wayne State University School of Medicine, 2002
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
18101 Oakwood Blvd
Dearborn, MI 48124-4089
Phone (214) 687-0001
2142 N Cove Blvd
Toledo, OH 43606-3895
Phone (419) 291-4000
3509 Briarfield Blvd
Maumee, OH 43537-9383
Phone (419) 865-3866
500 Osborn Blvd
Sault S Marie, MI 49783-1822
Phone (906) 635-4460
5640 N Adrian Hwy
Adrian, MI 49221-8318
Phone (419) 291-4491
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4704214433 | MI | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Promedica Central Physicians | Current | Accepting new patients | |
| Mercy Memorial Hospital Corporation | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Mercy Memorial Hospital Corporation | Current | Accepting new patients | |
| Mymichigan Medical Center Sault | Current | Accepting new patients | |
| Mymichigan Medical Center Sault | Current | Accepting new patients | |
| Promedica Central Corporation of Michigan | Current | Accepting new patients | |
| Promedica Central Physicians | Current | Accepting new patients | |
| Jebs Anesthesia Consultants, LLC | Current | Accepting new patients | |
| Northstar Anesthesia of Michigan III PLLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Anesthesia Office Consultants, PLLC | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| Northstar Anesthesia of Michigan II PC | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| Ambulatory Anesthesia Associates, PC | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
Locations
5640 N Adrian Hwy
Adrian, MI 49221
Phone (419) 291-3000
818 Riverside Ave
Adrian, MI 49221
Phone (517) 263-0711
18101 Oakwood Blvd
Dearborn, MI 48124
Phone (313) 593-8780
3175 Smith Rd
Lambertville, MI 48144
Phone (734) 856-5494
4000 Wellness Dr
Midland, MI 48670
Phone (844) 832-1956
718 N Macomb St
Monroe, MI 48162
Phone (734) 212-3097
500 Osborn Blvd
Sault South Marie, MI 49783
Phone (906) 635-4350
200 E Russell Rd
Unit C
Tecumseh, MI 49286
Phone (517) 424-3883
33155 Annapolis St
Wayne, MI 48184
Phone (734) 467-4042
3509 Briarfield Blvd
Maumee, OH 43537
Phone (419) 865-3566
5700 Monroe St
Unit 102
Sylvania, OH 43560
Phone (419) 843-7996
100 Madison Ave
Toledo, OH 43604
Phone (567) 585-1964
2109 Hughes Dr
Ste 450
Toledo, OH 43606
Phone (419) 251-3112
2142 N Cove Blvd
Toledo, OH 43606
Phone (419) 291-1111
Organizations & group practices 13
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.
-
- Pain Medicine (Anesthesiology) Physician
- Irving, TX
- NPI 1972126209
MI, Nurse Anesthetist, Certified Registered
-
- Family Medicine Physician
- Toledo, OH
- NPI 1043270150
-
- Emergency Medical Services (Emergency Medicine) Physician
- Sault Sainte Marie, MI
- NPI 1639190382
-
- Certified Registered Nurse Anesthetist
- Monroe, MI
- NPI 1366483745
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Sault Sainte Marie, MI
- NPI 1457305674
-
- Anatomic Pathology & Clinical Pathology Physician
- Sault Sainte Marie, MI
- NPI 1518819739
-
dba ProMedica Physicians Durable Medical Equipment
- Durable Medical Equipment & Medical Supplies
- Toledo, OH
- NPI 1669068482
-
- Anesthesiology Physician
- Monroe, MI
- NPI 1952350555
Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Dearborn, MI
- NPI 1396790242
Nurse Anesthetist, Certified Registered
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Adrian, MI
- NPI 1972564730
-
dba Promedica Monroe Regional Hospital
- General Acute Care Hospital
- Monroe, MI
- NPI 1811097223
-
dba Monroe Cancer Center
- Specialist
- Monroe, MI
- NPI 1376997551
Hospital
-
dba Chippewa County War Memorial Hospital, Inc
- General Acute Care Hospital
- Sault Sainte Marie, MI
- NPI 1295756948
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158278400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1698969600000",
"number": "1881790145",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18101 OAKWOOD BLVD",
"city": "DEARBORN",
"state": "MI",
"postal_code": "481244089",
"telephone_number": "313-593-7820",
"fax_number": "313-593-8894"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18101 OAKWOOD BLVD",
"city": "DEARBORN",
"state": "MI",
"postal_code": "481244089",
"telephone_number": "313-593-7820",
"fax_number": "313-593-8894"
}
],
"practiceLocations": [
{
"address_1": "5700 Monroe St Unit 102",
"address_purpose": "LOCATION",
"city": "Sylvania",
"state": "OH",
"postal_code": "435602779",
"country_code": "US",
"telephone_number": "419-893-7996",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "500 Osborn Blvd",
"address_purpose": "LOCATION",
"city": "Sault Sainte Marie",
"state": "MI",
"postal_code": "497831822",
"country_code": "US",
"telephone_number": "190-625-3102",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JASINSKI",
"first_name": "KIMBERLY",
"middle_name": "J",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-15",
"last_updated": "2023-11-03",
"certification_date": "2023-06-06",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "OH",
"license": "APRN.CRNA.019901",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "MI",
"license": "4704214433",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4835680",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4486604",
"state": "MI"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "kjasinski92388@epicdirect.promedica.org",
"affiliation": "N",
"address_1": "100 Madison Ave",
"city": "Toledo",
"state": "OH",
"country_code": "US",
"postal_code": "436041516",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Dearborn, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2023; 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.