DEREK GELVEN SRNA
NPI 1205380763
Nurse Anesthetist, Certified Registered in Traverse City, MI

Q: What is Derek Gelven's NPI number?

The NPI number for Derek Gelven is 1205380763. It was assigned to this individual provider in the NPPES registry on August 12, 2016.

Q: What is Derek Gelven'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 Derek Gelven was last updated on August 12, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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 August 12, 2016Accepts Medicare Assignment

4100 PARK FOREST DR STE 210, TRAVERSE CITY, MI 49684(231) 392-8742(231) 935-0747 Get Directions Write a Review

NPPES record last updated: August 12, 2016. Verified against the NPPES registry weekly; last sync: October 04, 2026.

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About Derek Gelven Srna NPPES

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

DEREK GELVEN SRNA (NPI 1205380763) is an individual nurse anesthetist, certified registered in Traverse City, Michigan, licensed in Michigan (4704286642) and active in the NPI registry since August 2016. He is affiliated with Munson Medical Center and is a graduate of University Of Michigan Medical School (2016).

NPPES Registry Identity

NPI1205380763

Entity TypeIndividualMale

Primary Taxonomy367500000X

Provider Legal NameDEREK GELVENCredential: SRNA

Location Address4100 PARK FOREST DR STE 210Traverse City, MI 49684-7306

Mailing Address3617 Blair Valley DrTraverse City, MI 49685-7049 · (248) 701-5575

Phone(231) 392-8742

Fax(231) 935-0747

Sole ProprietorNo

Medical School CMSUniversity Of Michigan Medical SchoolGraduated 2016

Enumeration DateAugust 12, 2016

✔ NPI 1205380763 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 · 4704286642

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.

4100 PARK FOREST DR STE 210, Traverse City, MI 49684

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Michigan Mutual Insurance Company.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

Derek Gelven Srna 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 ID1850688110

PECOS Enrollment IDI20160929002458

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 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.

11 services11 patients

Hospital Affiliations CMS Care Compare 2

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

Munson Medical Center

Acute Care Hospitals · Traverse City, MI

5/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number230097

Location1105 Sixth StreetTraverse City, MI 49684 · Grand Traverse County

Emergency services Birthing friendly

Munson Healthcare Manistee Hospital

Acute Care Hospitals · Manistee, MI

4/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number230303

Location1465 E Parkdale AveManistee, MI 49660 · Manistee County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49684 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 9

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

STEPHANIE MAE SWANSON

Nurse Anesthetist, Certified Registered