MRS. JENNIFER LYNN PAGADUAN CRNA
NPI 1053063636
Nurse Anesthetist, Certified Registered in Clinton Township, MI
About Mrs. Jennifer Lynn Pagaduan Crna NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. JENNIFER LYNN PAGADUAN CRNA (NPI 1053063636) is an individual nurse anesthetist, certified registered in Clinton Township, Michigan, licensed in Michigan (4704283981) and active in the NPI registry since January 2022. She is affiliated with Ascension St John Hospital and is a graduate of Other (2021).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Mrs. Jennifer Lynn Pagaduan Crna is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Jennifer Pagaduan reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Harrison Township, MI 48045
- Reassigned Medicare billing, Michigan enrollment
- Medicare enrollment name: Henry Ford Health St. John Hospital
- 132 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Ascension St John Hospital
Acute Care Hospitals · Detroit, MIPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 48035 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Jennifer Pagaduan's NPI number?
The NPI number for Jennifer Pagaduan is 1053063636. It was assigned to this individual provider in the NPPES registry on January 25, 2022.
Where is Jennifer Pagaduan located?
Jennifer Pagaduan practices at 35369 Blairmoor Dr, Clinton Township, MI 48035. The listed phone number is (586) 484-9916.
What is Jennifer Pagaduan's specialty?
The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.
Is Jennifer Pagaduan enrolled in Medicare?
Yes. Jennifer Pagaduan is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Jennifer Pagaduan's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jennifer Pagaduan reassigns Medicare benefits to St John Hospital And Medical Center (Harrison Township, MI). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jennifer Pagaduan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Jennifer Pagaduan affiliated with any hospitals?
According to CMS data, Jennifer Pagaduan is affiliated with Ascension St John Hospital.
When was this NPI record last updated?
The NPPES record for Jennifer Pagaduan was last updated on January 25, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Mrs. Jennifer Lynn Pagaduan, CRNA · NPI 1053063636
Nurse Anesthetist, Certified Registered physician in Clinton Township, Michigan. Individual provider, active in the CMS NPPES registry since January 25, 2022.
## Identity
- **NPI:** 1053063636 (Entity type: Individual)
- **Enumerated:** January 25, 2022
- **Primary specialty:** Nurse Anesthetist, Certified Registered · taxonomy 367500000X
- **State license:** 4704283981 (Michigan)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 35369 BLAIRMOOR DR, Clinton Township, MI 48035-2408
- **Phone:** (586) 484-9916
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Bills Medicare through:** St John Hospital And Medical Center (NPI 1740312685, Harrison Township, MI), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2021
## Record status
- **NPPES last updated:** January 25, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1053063636) · Data from the CMS NPPES public registry.