JENNIFER MODINA ROQUE CRNA
NPI 1134601586
Nurse Anesthetist, Certified Registered in Detroit, MI

Active since September 02, 2018Accepts Medicare Assignment
83.35/100
CMS Quality Rating
22101 MOROSS, DETROIT, MI 48236(313) 343-4370 Get Directions Write a Review

NPPES record last updated: October 12, 2018. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Oct 12, 2018, Sep 2, 2018 (2 updates tracked since 2018).

About Jennifer Modina Roque Crna NPPES

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

JENNIFER MODINA ROQUE CRNA (NPI 1134601586) is an individual nurse anesthetist, certified registered in Detroit, Michigan, licensed in Michigan (4704231669) and active in the NPI registry since September 2018. She is affiliated with Ascension St John Hospital and is a graduate of Wayne State University School Of Medicine (2018).

NPPES Registry Identity

NPI1134601586
Entity TypeIndividualFemale
Primary Taxonomy367500000X
Provider Legal NameJENNIFER MODINA ROQUECredential: CRNA
Location Address22101 MOROSSDetroit, MI 48236
Mailing Address34841 Fontana DriveSterling Heights, MI 48312
Sole ProprietorNo
Medical School CMSWayne State University School Of MedicineGraduated 2018
Enumeration DateSeptember 2, 2018
Last NPPES UpdateOctober 12, 20182 updates tracked since enumeration
NPI 1134601586 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
License Licensed in MI · 4704231669
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.

Also ListedRegistered NurseTaxonomy 163W00000X · License 4704231669 (MI)
22101 MOROSS, Detroit, MI 48236

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

Jennifer Modina Roque 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 ID5698028074
PECOS Enrollment IDI20181101001372

Areas of Expertise CMS Part B claims 2

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.
15 services15 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.
12 services12 patients

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, MI
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number230165
Location22101 Moross RdDetroit, MI 48236 · Wayne County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48236 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.

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.

83.35/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality68.06
Promoting Interoperability100
Improvement Activities40
Cost60.61

Other Providers at the Same Location NPPES 3

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

Social Worker (Clinical)
22101 MOROSS
DETROIT, MI 48236
Internal Medicine
22101 MOROSS, ST JOHNS HOSPITAL & MEDICAL CENTER
DETROIT, MI 48236
Psychiatric Unit
22101 MOROSS
DETROIT, MI 48236

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 Roque's NPI number?

The NPI number for Jennifer Roque is 1134601586. It was assigned to this individual provider in the NPPES registry on September 2, 2018.

Where is Jennifer Roque located?

Jennifer Roque practices at 22101 Moross, Detroit, MI 48236. The listed phone number is (313) 343-4370.

What is Jennifer Roque's specialty?

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

Is Jennifer Roque enrolled in Medicare?

Yes. Jennifer Roque 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.

Is Jennifer Roque affiliated with any hospitals?

According to CMS data, Jennifer Roque is affiliated with Ascension St John Hospital.

When was this NPI record last updated?

The NPPES record for Jennifer Roque was last updated on October 12, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.