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JACOB ROBERT BELCH CRNA
NPI 1235058736
Nurse Anesthetist, Certified Registered in Detroit, MI

Active since July 10, 2026
42 W WARREN AVE, DETROIT, MI 48201(313) 577-2424 Get Directions Write a Review

NPPES record last updated: August 5, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 5, 2026, Jul 10, 2026 (2 updates tracked since 2026).

About Jacob Robert Belch Crna NPPES

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

JACOB ROBERT BELCH CRNA (NPI 1235058736) is an individual nurse anesthetist, certified registered in Detroit, Michigan, licensed in Michigan (4704342412) and active in the NPI registry since July 2026. He is a graduate of Other (2026).

NPPES Registry Identity

NPI1235058736
Entity TypeIndividualMale
Primary Taxonomy367500000X
Provider Legal NameJACOB ROBERT BELCHCredential: CRNA
Location Address42 W WARREN AVEDetroit, MI 48201-1347
Mailing Address42 W Warren AveDetroit, MI 48201-1347
Phone(313) 577-2424
Sole ProprietorYes
Medical School CMSOtherGraduated 2026
Enumeration DateJuly 10, 2026
Last NPPES UpdateAugust 5, 20262 updates tracked since enumeration
NPPES CertifiedAugust 5, 2026
✔ NPI 1235058736 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 · 4704342412
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.
42 W WARREN AVE, Detroit, MI 48201
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jacob Robert Belch Crna is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2961961693
PECOS Enrollment IDI20260824002933

Medicare Billing Reassignment

Medicare enrollment records show Jacob Belch reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Northstar Anesthesia Of Michigan III PLLC
1,002 mi
Pain Medicine
6225 N STATE HIGHWAY 161 STE 200
Irving, TX 75038
  • Reassigned Medicare billing, Michigan enrollment
  • 905 clinicians in this Medicare group
NPI 1972126209 (214) 687-0001

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 8

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

CLARE LATKOVIC
Physician Assistant
42 W WARREN AVE
DETROIT, MI 48201
Wayne County (313) 577-2424
STEFANA BOJESCU NP
Nurse Practitioner
42 W WARREN AVE
DETROIT, MI 48201
Wayne County (734) 377-1863
TARA TEHLIRIAN
Student in an Organized Health Care Education/Training Program
42 W WARREN AVE
DETROIT, MI 48201
Wayne County (000) 000-0000
DEVIN DAVID BABI
Student in an Organized Health Care Education/Training Program
42 W WARREN AVE
DETROIT, MI 48201
Wayne County (313) 577-2424
HAURAA AALABDULRASUL PA
Physician Assistant
42 W WARREN AVE
DETROIT, MI 48201
Wayne County (313) 577-2424
ASHLEE EDDIE
Registered Nurse
42 W WARREN AVE
DETROIT, MI 48201
Wayne County (313) 577-2424
BRYNN NEVINS CSCS
Student in an Organized Health Care Education/Training Program
42 W WARREN AVE
DETROIT, MI 48201
Wayne County (517) 215-0576
OLIVIA HEDO LLMSW
Social Worker
42 W WARREN AVE
DETROIT, MI 48201
Wayne County (586) 275-8505

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 Jacob Belch's NPI number?

The NPI number for Jacob Belch is 1235058736. It was assigned to this individual provider in the NPPES registry on July 10, 2026.

Where is Jacob Belch located?

Jacob Belch practices at 42 W Warren Ave, Detroit, MI 48201. The listed phone number is (313) 577-2424.

What is Jacob Belch's specialty?

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

Is Jacob Belch enrolled in Medicare?

Yes. Jacob Belch is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jacob Belch's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jacob Belch reassigns Medicare benefits to Northstar Anesthesia Of Michigan III PLLC (Irving, TX). The 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 Jacob Belch's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Jacob Belch was last updated on August 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.