JASON FENNEMA CRNA
NPI 1174060537
Nurse Anesthetist, Certified Registered in Grand Rapids, MI
About Jason Fennema Crna NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JASON FENNEMA CRNA (NPI 1174060537) is an individual nurse anesthetist, certified registered in Grand Rapids, Michigan, licensed in Michigan (4704279909) and active in the NPI registry since January 2017. He is affiliated with Mercy Health Saint Mary's, maintains 3 additional practice locations, and is a graduate of Other (2016).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Locations 3
Accepted 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 Fennema 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 Reassignments
3Medicare enrollment records show Jason Fennema reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Grand Rapids, MI 49503
- Reassigned Medicare billing, Michigan enrollment
- 199 clinicians in this Medicare group
Holland, MI 49423
- Reassigned Medicare billing, Michigan enrollment
- 20 clinicians in this Medicare group
Kalamazoo, MI 49008
- Reassigned Medicare billing, Michigan enrollment
- 152 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.
Mercy Health Saint Mary's
Acute Care Hospitals · Grand Rapids, MIPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 49503 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.
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.
GRAND RAPIDS, MI 49503
GRAND RAPIDS, MI 49503
GRAND RAPIDS, MI 49503
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 Jason Fennema's NPI number?
The NPI number for Jason Fennema is 1174060537. It was assigned to this individual provider in the NPPES registry on January 24, 2017.
Where is Jason Fennema located?
Jason Fennema practices at 200 Jefferson Ave SE, Grand Rapids, MI 49503. The listed phone number is (616) 391-1609.
What is Jason Fennema's specialty?
The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.
Is Jason Fennema enrolled in Medicare?
Yes. Jason Fennema 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 organizations bill Medicare for Jason Fennema's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jason Fennema reassigns Medicare benefits to 3 organizations: Saint Mary's Health Services (Grand Rapids, MI), Macatawa Anesthesia PC (Holland, MI) and Kalamazoo Anesthesiology P C (Kalamazoo, MI). Each 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 Jason Fennema's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Jason Fennema accept?
Health plans from Oscar Insurance Company list Jason Fennema as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
Is Jason Fennema affiliated with any hospitals?
According to CMS data, Jason Fennema is affiliated with Mercy Health Saint Mary's.
When was this NPI record last updated?
The NPPES record for Jason Fennema was last updated on January 26, 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.
# Jason Fennema, CRNA · NPI 1174060537
Nurse Anesthetist, Certified Registered physician in Grand Rapids, Michigan. Individual provider, active in the CMS NPPES registry since January 24, 2017.
## Identity
- **NPI:** 1174060537 (Entity type: Individual)
- **Enumerated:** January 24, 2017
- **Primary specialty:** Nurse Anesthetist, Certified Registered · taxonomy 367500000X
- **State license:** 4704279909 (Michigan)
- **Sole proprietor:** No
## Practice location
- **Address:** 200 JEFFERSON AVE SE, Grand Rapids, MI 49503-4502
- **Phone:** (616) 391-1609
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Saint Mary's Health Services (NPI 1124063078, Grand Rapids, MI); Macatawa Anesthesia PC (NPI 1942242136, Holland, MI); Kalamazoo Anesthesiology P C (NPI 1407821796, Kalamazoo, MI) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2016
## Record status
- **NPPES last updated:** January 26, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1174060537) · Data from the CMS NPPES public registry.