KEVIN WILLIAM FORSYTHE CRNA
NPI 1275547937
Nurse Anesthetist, Certified Registered in Grand Rapids, MI

Active since July 28, 2006Accepts Medicare Assignment
89.01/100
CMS Quality Rating
200 JEFFERSON AVE SE, GRAND RAPIDS, MI 49503(616) 732-8956 Get Directions Write a Review

NPPES record last updated: June 24, 2010. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Kevin William Forsythe Crna NPPES

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

KEVIN WILLIAM FORSYTHE CRNA (NPI 1275547937) is an individual nurse anesthetist, certified registered in Grand Rapids, Michigan, licensed in Michigan (4704204536) and active in the NPI registry since July 2006. He is affiliated with Mercy Health Saint Mary's and is a graduate of Other (1995).

NPPES Registry Identity

NPI1275547937
Entity TypeIndividualMale
Primary Taxonomy367500000X
Provider Legal NameKEVIN WILLIAM FORSYTHECredential: CRNA
Location Address200 JEFFERSON AVE SEGrand Rapids, MI 49503-4502
Mailing Address255 W Michigan AveJackson, MI 49201-2218 · (517) 787-6440 · Fax (517) 787-4146
Sole ProprietorNo
Medical School CMSOtherGraduated 1995
Enumeration DateJuly 28, 2006
Last NPPES UpdateJune 24, 2010
✔ NPI 1275547937 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 · 4704204536
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.
200 JEFFERSON AVE SE, Grand Rapids, MI 49503

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

Kevin William Forsythe 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 ID1951597608
PECOS Enrollment IDI20101122000089

Medicare Billing Reassignment

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

Anesthesiology
200 JEFFERSON AVE SE
Grand Rapids, MI 49503
  • Reassigned Medicare billing, Michigan enrollment
  • 199 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, MI
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number230059
Location200 Jefferson Avenue SEGrand Rapids, MI 49503 · Kent County
Emergency services Birthing friendly

Physician 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.

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.

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.

89.01/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality94.05
Improvement Activities20
Cost74.56

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.

Physical Therapist
200 JEFFERSON AVE SE
GRAND RAPIDS, MI 49503
Nurse Anesthetist, Certified Registered
200 JEFFERSON AVE SE
GRAND RAPIDS, MI 49503
Emergency Medicine
200 JEFFERSON AVE SE
GRAND RAPIDS, MI 49503
Pediatrics (Neonatal-Perinatal Medicine)
200 JEFFERSON AVE SE, NICU
GRAND RAPIDS, MI 49503
Durable Medical Equipment & Medical Supplies
200 JEFFERSON AVE SE
GRAND RAPIDS, MI 49503
Occupational Therapist
200 JEFFERSON AVE SE
GRAND RAPIDS, MI 49503
Nurse Practitioner (Family)
200 JEFFERSON AVE SE
GRAND RAPIDS, MI 49503
Registered Nurse
200 JEFFERSON AVE SE
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 Kevin Forsythe's NPI number?

The NPI number for Kevin Forsythe is 1275547937. It was assigned to this individual provider in the NPPES registry on July 28, 2006.

Where is Kevin Forsythe located?

Kevin Forsythe practices at 200 Jefferson Ave SE, Grand Rapids, MI 49503. The listed phone number is (616) 732-8956.

What is Kevin Forsythe's specialty?

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

Is Kevin Forsythe enrolled in Medicare?

Yes. Kevin Forsythe 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 organization bills Medicare for Kevin Forsythe's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kevin Forsythe reassigns Medicare benefits to Saint Mary's Health Services (Grand Rapids, MI). 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 Kevin Forsythe's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kevin Forsythe accept?

Health plans from Oscar Insurance Company list Kevin Forsythe 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 Kevin Forsythe affiliated with any hospitals?

According to CMS data, Kevin Forsythe is affiliated with Mercy Health Saint Mary's.

When was this NPI record last updated?

The NPPES record for Kevin Forsythe was last updated on June 24, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.