JASON FORD CRNA
NPI 1063463933
Nurse Anesthetist, Certified Registered in Niles, MI

Q: What is Jason Ford's NPI number?

The NPI number for Jason Ford is 1063463933. It was assigned to this individual provider in the NPPES registry on May 15, 2006.

Q: What is Jason Ford's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Q: When was this NPI record last updated?

The NPPES record for Jason Ford was last updated on June 24, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since May 15, 2006Accepts Medicare Assignment

31 N SAINT JOSEPH AVE, NILES, MI 49120(269) 687-1879(269) 683-0104 Get Directions Write a Review

NPPES record last updated: June 24, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jun 24, 2024, Dec 3, 2019 (2 updates tracked since 2019).

On this page

About Jason Ford Crna NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JASON FORD CRNA (NPI 1063463933) is an individual nurse anesthetist, certified registered in Niles, Michigan, licensed in Michigan (4704267914) and active in the NPI registry since May 2006. He is affiliated with Lakeland Hospital, St Joseph, maintains a secondary practice location in Elkhart, and is a graduate of Other (2005).

NPPES Registry Identity

NPI1063463933

Entity TypeIndividualMale

Primary Taxonomy367500000X

Provider Legal NameJASON FORDCredential: CRNA

Location Address31 N SAINT JOSEPH AVENiles, MI 49120

Mailing Address31 N Saint Joseph AveNiles, MI 49120-2207 · (269) 687-1879 · Fax (269) 683-0104

Phone(269) 687-1879

Fax(269) 683-0104

Sole ProprietorNo

Medical School CMSOtherGraduated 2005

Enumeration DateMay 15, 2006

Last NPPES UpdateJune 24, 20242 updates tracked since enumeration

NPPES CertifiedJune 24, 2024

✔ NPI 1063463933 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code367500000X

Licenses✔ Licensed in MI · 4704267914✔ Licensed in IN · 28165863

Definition

(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.

31 N SAINT JOSEPH AVE, Niles, MI 49120

Open in Google Maps ↗

Secondary Practice Location 1

Location 1500 N Nappanee St, Suite 11BElkhart, IN 46514-1503 · Phone (574) 522-9922

Other Identifiers 1

Medicaid200539770IN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

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

Jason Ford 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.

PECOS PAC ID446270474

PECOS Enrollment IDI20090121000231

Medicare Billing Reassignments

Medicare enrollment records show Jason Ford reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Lakeland Community Hospital Watervliet

2.3 mi

Rural Health

2002 S 11TH ST
Niles, MI 49120

Reassigned Medicare billing, Michigan enrollment
107 clinicians in this Medicare group

NPI 1538592753 (269) 687-0200

Saint Joseph Regional Medical Center-South Bend Campus, Inc.

9.4 mi

Family Medicine

611 E DOUGLAS RD, STE 406, FAMILY MEDICINE FACULTY PHYSICIANS
Mishawaka, IN 46545

Reassigned Medicare billing, Indiana enrollment
216 clinicians in this Medicare group

NPI 1144580150 (574) 335-6580

Lakeland Hospitals At Niles And St Joseph, Inc

21 mi

Anesthesiology

1234 NAPIER AVE
Saint Joseph, MI 49085

Reassigned Medicare billing, Michigan enrollment
249 clinicians in this Medicare group

NPI 1598305641 (616) 486-6630

Anesthesia Associates Of Laporte PC

28 mi

Anesthesiology

1331 STATE ST
La Porte, IN 46350

Reassigned Medicare billing, Indiana enrollment
20 clinicians in this Medicare group

NPI 1235455429 (219) 326-1234

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Anesthesia for lens surgery 00142

Anesthesia for lens surgery involves administering medication to numb the eye area, ensuring you feel no pain during the procedure. This can be a local anesthetic (numbing only the eye area) or general (where you're asleep). It helps make the surgery comfortable and stress-free.

75 services72 patients

Anesthesia for other procedure on large bowel using an endoscope 00811

Anesthesia for an endoscopic procedure on the large bowel ensures comfort and relaxation during the procedure. You'll be given medication to make you drowsy or asleep, eliminating any discomfort. The medication can be administered through a vein or inhaled.

34 services34 patients

Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope 00731

This procedure involves the use of an endoscope, a flexible tube with a light and camera, to examine your esophagus, stomach, or upper small bowel. Anesthesia ensures you are comfortable and pain-free during the procedure.

22 services22 patients

Anesthesia for other procedure on neck area (1 year or older) 00320

Anesthesia for a procedure on the neck area is a medical service provided to ensure you remain comfortable and pain-free during the operation. It involves administering medication to numb the neck region or to induce sleep. The method chosen depends on the specific procedure and your overall health.

11 services11 patients

Anesthesia for procedure on small and large bowel using an endoscope 00813

Anesthesia for an endoscopic procedure on the small and large bowel ensures comfort and relaxation during the procedure. It involves administering medicine to help you sleep or feel drowsy. This allows the doctor to examine your bowels without causing you discomfort or pain.

11 services11 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Lakeland Hospital, St Joseph

Acute Care Hospitals · St Joseph, MI

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number230021

Location1234 Napier AvenueSt Joseph, MI 49085 · Berrien County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49120 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$126.15 typical visit price

range $54.34 – $166.68

Typical copayment $31.53 (range $13.58 – $41.67)

Most-billed visit code 99204

Established Patient

$68.07 typical visit price

range $17.09 – $135.40

Typical copayment $17.01 (range $4.27 – $33.85)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CHRISTOPHER HOLMAN CRNA

Nurse Anesthetist, Certified Registered