JAMIE ETTAHER
NPI 1073911699
Nurse Anesthetist, Certified Registered in Wyandotte, MI

Q: What is Jamie Ettaher's NPI number?

The NPI number for Jamie Ettaher is 1073911699. It was assigned to this individual provider in the NPPES registry on December 13, 2014.

Q: What is Jamie Ettaher'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 Jamie Ettaher was last updated on December 13, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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 December 13, 2014Accepts Medicare Assignment

2333 BIDDLE AVE, WYANDOTTE, MI 48192(734) 246-6000 Get Directions Write a Review

NPPES record last updated: December 13, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Jamie Ettaher NPPES

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

JAMIE ETTAHER (NPI 1073911699) is an individual nurse anesthetist, certified registered in Wyandotte, Michigan, licensed in Michigan (4704238989) and active in the NPI registry since December 2014. She is affiliated with Henry Ford Health Wyandotte Hospital and is a graduate of Other (2014).

NPPES Registry Identity

NPI1073911699

Entity TypeIndividualFemale

Primary Taxonomy367500000X

Provider Legal NameJAMIE ETTAHER

Location Address2333 BIDDLE AVEWyandotte, MI 48192-4668

Mailing Address2333 Biddle AveWyandotte, MI 48192-4668 · (734) 246-6000

Phone(734) 246-6000

Sole ProprietorNo

Medical School CMSOtherGraduated 2014

Enumeration DateDecember 13, 2014

✔ NPI 1073911699 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

License✔ Licensed in MI · 4704238989

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.

2333 BIDDLE AVE, Wyandotte, MI 48192

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Priority Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jamie Ettaher 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 ID5193042398

PECOS Enrollment IDI20150327001288

Areas of Expertise CMS Part B claims

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 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.

23 services23 patients

Hospital Affiliations CMS Care Compare

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

Henry Ford Health Wyandotte Hospital

Acute Care Hospitals · Wyandotte, MI

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number230146

Location2333 Biddle AveWyandotte, MI 48192 · Wayne County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48192 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

$134.28 typical visit price

range $58.04 – $177.36

Typical copayment $33.57 (range $14.51 – $44.34)

Most-billed visit code 99204

Established Patient

$72.38 typical visit price

range $18.32 – $143.49

Typical copayment $18.09 (range $4.58 – $35.87)

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.

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