1. Home
  2. Directory
  3. Michigan
  4. Charlevoix
  5. Nurse Anesthetist Certified Registered
  6. NPI Profile

MARK LEROY VANDERWEIDE CRNA
NPI 1225758824
Nurse Anesthetist, Certified Registered in Charlevoix, MI

Active since September 01, 2022Accepts Medicare Assignment
14700 LAKE SHORE DR, CHARLEVOIX, MI 49720(231) 547-4024 Get Directions Write a Review

NPPES record last updated: October 12, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 12, 2022, Sep 1, 2022 (2 updates tracked since 2022).

About Mark Leroy Vanderweide Crna NPPES

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

MARK LEROY VANDERWEIDE CRNA (NPI 1225758824) is an individual nurse anesthetist, certified registered in Charlevoix, Michigan, licensed in Michigan (4704293836) and active in the NPI registry since September 2022. He is affiliated with Charlevoix Area Hospital and is a graduate of Other (2022).

NPPES Registry Identity

NPI1225758824
Entity TypeIndividualMale
Primary Taxonomy367500000X
Provider Legal NameMARK LEROY VANDERWEIDECredential: CRNA
Location Address14700 LAKE SHORE DRCharlevoix, MI 49720-1999
Mailing Address854 Dorroll St NeGrand Rapids, MI 49505-4209 · (616) 914-6532
Phone(231) 547-4024
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateSeptember 1, 2022
Last NPPES UpdateOctober 12, 20222 updates tracked since enumeration
NPPES CertifiedOctober 12, 2022
✔ NPI 1225758824 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 · 4704293836
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.
14700 LAKE SHORE DR, Charlevoix, MI 49720
Open in Google Maps ↗

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

Mark Leroy Vanderweide 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 ID941673115
PECOS Enrollment IDI20230309000351

Medicare Billing Reassignments

3

Medicare enrollment records show Mark Vanderweide reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Munson Healthcare Charlevoix Hospital
Same address
Critical Access
14700 LAKE SHORE DRIVE
Charlevoix, MI 49720
  • Reassigned Medicare billing, Michigan enrollment
  • 96 clinicians in this Medicare group
NPI 1346260692 (231) 547-4024
Munson Healthcare Otsego Memorial Hospital
35 mi
Nurse Anesthetist, Certified Registered
825 N CENTER AVE
Gaylord, MI 49735
  • Reassigned Medicare billing, Michigan enrollment
  • 63 clinicians in this Medicare group
NPI 1376568865 (989) 731-2100
Munson Healthcare Cadillac
74 mi
Anesthesiology
400 HOBART ST
Cadillac, MI 49601
  • Reassigned Medicare billing, Michigan enrollment
  • 62 clinicians in this Medicare group
NPI 1871991596 (231) 935-6080

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 4

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.
52 services51 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.
32 services32 patients
Anesthesia for exam of colon using an endoscope 00812
Anesthesia for a colon examination with an endoscope is a method used to ensure comfort during the procedure. It involves administering medication to help you relax or sleep, thus reducing discomfort as the endoscope, a thin, flexible tube, is navigated through your colon.
29 services29 patients
Injection of anesthetic agent and/or steroid into thigh nerve (femoral nerve) 64447
This procedure involves injecting a numbing agent and/or steroid into a nerve in your thigh. It's done to alleviate pain or inflammation. A needle will be carefully positioned near the nerve, and the medicine will be administered.
16 services16 patients

Hospital Affiliations CMS Care Compare

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

Charlevoix Area Hospital

Critical Access Hospitals · Charlevoix, MI
OwnershipVoluntary non-profit - Other
CMS Certification Number231322
Location14700 Lakeshore DriveCharlevoix, MI 49720 · Charlevoix County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49720 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.

SARAH MADISON
Registered Nurse (Oncology)
14700 LAKE SHORE DR
CHARLEVOIX, MI 49720
Charlevoix County (231) 547-8868
HAWK EMERGENCY GROUP, P.C.
Emergency Medicine
14700 LAKE SHORE DR
CHARLEVOIX, MI 49720
Charlevoix County (231) 547-4024
MICHAEL JOHNSON CRNA
Nurse Anesthetist, Certified Registered
14700 LAKE SHORE DR
CHARLEVOIX, MI 49720
Charlevoix County (231) 547-4024
DANIEL J SCHOBER DPT
Physical Therapist
14700 LAKE SHORE DR
CHARLEVOIX, MI 49720
Charlevoix County (231) 547-8630
SHARRON MIZAK-SCHWEIN PT
Physical Therapist
14700 LAKE SHORE DR
CHARLEVOIX, MI 49720
Charlevoix County (231) 547-8630
CANDICE WIERS PT, DPT
Physical Therapist
14700 LAKE SHORE DR
CHARLEVOIX, MI 49720
Charlevoix County (231) 547-8907
MUNSON HEALTHCARE CHARLEVOIX HOSPITAL
Medicare Defined Swing Bed Unit
14700 LAKE SHORE DR
CHARLEVOIX, MI 49720
Charlevoix County (231) 547-4024
LINDA ANNE ZERBY PA-C
Physician Assistant
14700 LAKE SHORE DR
CHARLEVOIX, MI 49720
Charlevoix County (231) 547-4024

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 Mark Vanderweide's NPI number?

The NPI number for Mark Vanderweide is 1225758824. It was assigned to this individual provider in the NPPES registry on September 1, 2022.

Where is Mark Vanderweide located?

Mark Vanderweide practices at 14700 Lake Shore Dr, Charlevoix, MI 49720. The listed phone number is (231) 547-4024.

What is Mark Vanderweide's specialty?

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

Is Mark Vanderweide enrolled in Medicare?

Yes. Mark Vanderweide 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 Mark Vanderweide's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mark Vanderweide reassigns Medicare benefits to 3 organizations: Munson Healthcare Charlevoix Hospital (Charlevoix, MI), Munson Healthcare Otsego Memorial Hospital (Gaylord, MI) and Munson Healthcare Cadillac (Cadillac, 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 Mark Vanderweide's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Mark Vanderweide affiliated with any hospitals?

According to CMS data, Mark Vanderweide is affiliated with Charlevoix Area Hospital.

When was this NPI record last updated?

The NPPES record for Mark Vanderweide was last updated on October 12, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.