Jody L. Bovenschen, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

4704185216 Issued in MI

Practice address

2770 Main St
Marlette, MI 48453-1141

Phone

(989) 635-4000

Fax

(989) 635-4056

NPI assigned

Oct 20, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Specialty

Certified Registered Nurse Anesthetist (Crna)

Education

Other, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

McLaren Hospital GroupGroup PAC ID 2365968351, 366 clinicians

Asa Staffing IncGroup PAC ID 3971898644, 146 clinicians

McLaren Caro RegionGroup PAC ID 9234048166, 19 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• McLaren Thumb Region Hospital, Bad Axe, MI, CCN 231340
• McLaren Caro Region Hospital, Caro, MI, CCN 231329
• McLaren Bay Region Hospital, Bay City, MI, CCN 230041

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.

• Asa Staffing Inc

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

  Nurse Anesthetist, Certified Registered

  Medicare reassignment Care Compare group NPD
• McLaren Caro Region

  • Critical Access Hospital
  • Caro, MI
  • NPI 1073568978
  Medicare reassignment Care Compare group NPD
• McLaren Hospital Group

  • Emergency Medicine Physician
  • Flint, MI
  • NPI 1942026174
  Medicare reassignment Care Compare group NPD
• Huron Pathology Services PC

  • Pulmonary Disease Physician
  • Bad Axe, MI
  • NPI 1265546899
  NPD
• McLaren Caro Region

  • Rural Health Clinic/Center
  • Vassar, MI
  • NPI 1699396523
  NPD
• McLaren Thumb Region

  dba Huron Medical Center

  • General Acute Care Hospital
  • Bad Axe, MI
  • NPI 1245257880
  NPD
• McLaren Thumb Region

  dba Huron Medical Center

  • Critical Access Hospital
  • Bad Axe, MI
  • NPI 1518991744
  NPD
• McLaren Thumb Region

  • Rural Health Clinic/Center
  • Port Austin, MI
  • NPI 1558616086
  NPD
• McLaren Macomb

  • Internal Medicine Physician
  • Mount Clemens, MI
  • NPI 1396014601
  NPD (past)

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

• McLaren Bay Region

  • General Acute Care Hospital
  • Bay City, MI
  • NPI 1528031226
  Care Compare affiliation
• McLaren Caro Region

  • Critical Access Hospital
  • Caro, MI
  • NPI 1073568978
  Care Compare affiliation
• McLaren Thumb Region

  dba Huron Medical Center

  • Critical Access Hospital
  • Bad Axe, MI
  • NPI 1518991744
  Care Compare affiliation

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

{
    "created_epoch": "1161302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1912089574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2770 MAIN ST",
            "address_2": "PO BOX 307",
            "city": "MARLETTE",
            "state": "MI",
            "postal_code": "484531141",
            "telephone_number": "989-635-4000",
            "fax_number": "989-635-4056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2770 MAIN ST",
            "city": "MARLETTE",
            "state": "MI",
            "postal_code": "484531141",
            "telephone_number": "989-635-4000",
            "fax_number": "989-635-4056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOVENSCHEN",
        "first_name": "JODY",
        "middle_name": "L.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MI",
            "license": "4704185216",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "104601297",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GREAT LAKES HEALTHPLAN",
            "identifier": "143221",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Diane C Austin, RN
• Jessica Belill, FNP-C
• Emily Jayne Bell, PA-C
• Neal Bhatt, M.D.
• Mitchell Bobcean, DO
• Brad Reck
• Michelle Burgess, FNP-C
• Karen Sue Bush, NP
• Linda Jacqueline Calcaterra, BSN RN
• David Macdonell Calder, DO

• Certified Registered Nurse Anesthetist in Marlette, MI
• Providers in Marlette, 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 Jul 8, 2007; 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.