Individual provider Active NPI

Jennifer J Conner, CRNA

  • Certified Registered Nurse Anesthetist
  • Muskegon, MI
National Provider Identifier
1922087436
Registry record updated Apr 11, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
4704190577 Issued in MI
Practice address
1500 E Sherman Blvd
Muskegon, MI 49444-1849
Phone
(231) 672-2000
NPI assigned
Jan 12, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 4704190577 MI Primary

Addresses

Primary practice location

1500 E Sherman Blvd
Muskegon, MI 49444-1849

Mailing address

550 W Western Ave
Suite B
Muskegon, MI 49440-1045
Phone (231) 726-4498

Other identifiers 1

IdentifierTypeStateIssuer
4448630MedicaidMI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050107000289 MI Practitioner - Certified Registered Nurse Anesthetist (Crna) 3173571098 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Orthopaedic Associates of Muskegon PCGroup PAC ID 7214908045, 113 clinicians
Muskegon Surgical Associates PCGroup PAC ID 0941262877, 27 clinicians

Practice addresses (Care Compare)

1400 Mercy Dr
Suite 100
Muskegon, MI 49444-1833
Phone (231) 733-1326

1675 Patriot Dr
Muskegon, MI 49444-7807
Phone (231) 739-9461

Merit-based Incentive Payment System (MIPS)

Final score
97.76 of 100Reported as group
Quality
100
Promoting interoperability
91
Improvement activities
40
Cost
96.35

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Orthopaedic Associates of Muskegon, PC Nurse Anesthetist, Certified Registered CurrentSince Jun 1, 2022 Accepting new patients
Muskegon Surgical Associates PC CurrentSince Feb 1, 2025 Accepting new patients
Orthopaedic Associates of Muskegon, PC CurrentSince Jun 1, 2022 Accepting new patients
Spectrum Health Primary Care Partners CurrentSince Oct 21, 2025 Accepting new patients
Muskegon Surgical Associates Surgicenter, PLC CurrentSince Feb 1, 2025 Accepting new patients
Spectrum Health Primary Care Partners Current Accepting new patients
McLaren Flint Nurse Anesthetist, Certified Registered Past Accepting new patients
American Anesthesiology Associates of Michigan, PC Nurse Anesthetist, Certified Registered Past Accepting new patients
West Coast Anesthesia PLLC Nurse Anesthetist, Certified Registered Past Accepting new patients

Locations

1309 Sheldon Rd
Grand Haven, MI 49417
Phone (616) 842-3600

200 Jefferson Ave SE
Grand Rapids, MI 49503
Phone (616) 685-5000

4444 Kalamazoo Ave SE
Ste 200
Kentwood, MI 49508
Phone (616) 391-5600

1400 Mercy Dr
Ste 100
Muskegon, MI 49444
Phone (231) 733-1326

1500 E Sherman Blvd
Muskegon, MI 49444
Phone (231) 672-3027

1316 Mercy Dr
Muskegon, MI 49444
Phone (231) 739-9461

1672 Patriot Dr
Muskegon, MI 49444
Phone (231) 739-2470

1675 Patriot Dr
Muskegon, MI 49444
Phone (231) 739-1933

1400 Mercy Dr
Muskegon, MI 49444
Phone (231) 733-1326

1700 Clinton St
Muskegon, MI 49442
Phone (231) 726-3511

Interoperability endpoints

  • Direct secure messaging: jennifer.conner.1@29636.direct.athenahealth.com

Organizations & group practices 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1137024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1334102400000",
    "number": "1922087436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 W WESTERN AVE",
            "address_2": "SUITE B",
            "city": "MUSKEGON",
            "state": "MI",
            "postal_code": "494401045",
            "telephone_number": "231-726-4498",
            "fax_number": "231-726-4468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 E SHERMAN BLVD",
            "city": "MUSKEGON",
            "state": "MI",
            "postal_code": "494441849",
            "telephone_number": "231-672-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONNER",
        "first_name": "JENNIFER",
        "middle_name": "J",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-12",
        "last_updated": "2012-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MI",
            "license": "4704190577",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4448630",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Muskegon, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2012; 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.