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MS. TERESA K FATUM CRNA
NPI 1255444931
Nurse Anesthetist, Certified Registered in Grand Rapids, MI

Active since August 16, 2006Accepts Medicare Assignment
3333 EVERGREEN DR NE, GRAND RAPIDS, MI 49525(616) 364-4200(616) 364-7347 Get Directions Write a Review

NPPES record last updated: July 3, 2014. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Ms. Teresa K Fatum Crna NPPES

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

MS. TERESA K FATUM CRNA (NPI 1255444931) is an individual nurse anesthetist, certified registered in Grand Rapids, Michigan, licensed in Michigan (4704170665) and active in the NPI registry since August 2006. She is affiliated with Spectrum Health and is a graduate of Other (1994).

NPPES Registry Identity

NPI1255444931
Entity TypeIndividualFemale
Primary Taxonomy367500000X
Provider Legal NameMS. TERESA K FATUMCredential: CRNA
Location Address3333 EVERGREEN DR NEGrand Rapids, MI 49525-9756
Mailing Address3333 Evergreen Dr NeGrand Rapids, MI 49525-9756 · (616) 364-4200 · Fax (616) 364-7347
Phone(616) 364-4200
Fax(616) 364-7347
Sole ProprietorNo
Medical School CMSOtherGraduated 1994
Enumeration DateAugust 16, 2006
Last NPPES UpdateJuly 3, 2014
✔ NPI 1255444931 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 · 4704170665
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.
3333 EVERGREEN DR NE, Grand Rapids, MI 49525
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Other Names 1

Former Name (1)Mrs. Teresa K Shank Crna

Other Identifiers 2

Medicaid4299281MI
Medicare ID-Type UnspecifiedM73860020

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Priority Health.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

Ms. Teresa K Fatum 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 ID6103005889
PECOS Enrollment IDI20110127000064

Medicare Billing Reassignments

4

Medicare enrollment records show Teresa Fatum reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

West Michigan Anesthesia, PC
Same address
Anesthesiology
3333 EVERGREEN DR NE
Grand Rapids, MI 49525
  • Reassigned Medicare billing, Michigan enrollment
  • 46 clinicians in this Medicare group
NPI 1225016926 (616) 364-4200
Anesthesia Medical Consultants, PC
0.1 mi
Anesthesiology
3333 EVERGREEN DR NE
Grand Rapids, MI 49525
  • Reassigned Medicare billing, Michigan enrollment
  • 117 clinicians in this Medicare group
NPI 1063710689 (616) 364-4200
Spectrum Health Primary Care Partners
1.6 mi
Nurse Practitioner
3271 CLEAR VISTA CT NE
Grand Rapids, MI 49525
  • Reassigned Medicare billing, Michigan enrollment
  • 2,446 clinicians in this Medicare group
NPI 1346480258 (616) 391-7800
Saint Mary's Health Services
5.6 mi
Anesthesiology
200 JEFFERSON AVE SE
Grand Rapids, MI 49503
  • Reassigned Medicare billing, Michigan enrollment
  • 199 clinicians in this Medicare group
NPI 1124063078 (616) 732-8956

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

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.
13 services13 patients

Hospital Affiliations CMS Care Compare

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

Spectrum Health

Acute Care Hospitals · Grand Rapids, MI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230038
Location100 Michigan St NEGrand Rapids, MI 49503 · Kent County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49525 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.

MR. JEFFREY RYAN HALL AA
Anesthesiologist Assistant
3333 EVERGREEN DR NE
GRAND RAPIDS, MI 49525
Kent County (616) 364-4200
MRS. LINDSAY E MCKELVEY CRNA
Nurse Anesthetist, Certified Registered
3333 EVERGREEN DR NE
GRAND RAPIDS, MI 49525
Kent County (616) 364-4200
DR. JEFFREY M RICKETTS DO
Anesthesiology
3333 EVERGREEN DR NE
GRAND RAPIDS, MI 49525
Kent County (616) 364-4200
MRS. HEATHER M MONTGOMERY-KANITZ CRNA
Nurse Anesthetist, Certified Registered
3333 EVERGREEN DR NE
GRAND RAPIDS, MI 49525
Kent County (616) 364-4200
DR. VIVIAN NNENNA ONYEWUCHE M.D.
Anesthesiology
3333 EVERGREEN DR NE
GRAND RAPIDS, MI 49525
Kent County (616) 364-4200
DR. ERIC LEE LARSON MD
Anesthesiology
3333 EVERGREEN DR NE
GRAND RAPIDS, MI 49525
Kent County (616) 364-4200
DR. ANNA MARIA UITVLUGT MD
Anesthesiology
3333 EVERGREEN DR NE
GRAND RAPIDS, MI 49525
Kent County (616) 364-4200
ANESTHESIA MEDICAL CONSULTANTS, PC
Anesthesiology
3333 EVERGREEN DR NE
GRAND RAPIDS, MI 49525
Kent County (616) 364-4200

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 Teresa Fatum's NPI number?

The NPI number for Teresa Fatum is 1255444931. It was assigned to this individual provider in the NPPES registry on August 16, 2006. The provider is also known as Mrs. Teresa K Shank Crna.

Where is Teresa Fatum located?

Teresa Fatum practices at 3333 Evergreen Dr NE, Grand Rapids, MI 49525. The listed phone number is (616) 364-4200.

What is Teresa Fatum's specialty?

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

Is Teresa Fatum enrolled in Medicare?

Yes. Teresa Fatum 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 Teresa Fatum's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Teresa Fatum reassigns Medicare benefits to 4 organizations: West Michigan Anesthesia, PC (Grand Rapids, MI), Anesthesia Medical Consultants, PC (Grand Rapids, MI), Spectrum Health Primary Care Partners (Grand Rapids, MI) and Saint Mary's Health Services (Grand Rapids, 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 Teresa Fatum's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Teresa Fatum accept?

Health plans from Priority Health list Teresa Fatum 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 Teresa Fatum affiliated with any hospitals?

According to CMS data, Teresa Fatum is affiliated with Spectrum Health.

When was this NPI record last updated?

The NPPES record for Teresa Fatum was last updated on July 3, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.