JOANN R SPENCE CRNA
NPI 1356446942
Nurse Anesthetist, Certified Registered in Muskegon, MI
About Joann R Spence Crna NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JOANN R SPENCE CRNA (NPI 1356446942) is an individual nurse anesthetist, certified registered in Muskegon, Michigan, licensed in Michigan (4704164703) and active in the NPI registry since September 2006. She is affiliated with Trinity Health Muskegon Hospital, maintains 3 additional practice locations, and is a graduate of Other (1990).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Locations 3
Other Identifiers 1
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
Joann R Spence 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.
Medicare Billing Reassignments
7Medicare enrollment records show Joann Spence reassigns Medicare billing to 7 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Grand Rapids, MI 49503
- Reassigned Medicare billing, Michigan enrollment
- 199 clinicians in this Medicare group
Southfield, MI 48075
- Reassigned Medicare billing, Michigan enrollment
- 209 clinicians in this Medicare group
Novi, MI 48377
- Reassigned Medicare billing, Michigan enrollment
- 192 clinicians in this Medicare group
Novi, MI 48377
- Reassigned Medicare billing, Michigan enrollment
- 188 clinicians in this Medicare group
Farmington Hills, MI 48334
- Reassigned Medicare billing, Michigan enrollment
- 199 clinicians in this Medicare group
Southfield, MI 48033
- Reassigned Medicare billing, Michigan enrollment
- 49 clinicians in this Medicare group
Mount Clemens, MI 48043
- Reassigned Medicare billing, Michigan enrollment
- 112 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.
Areas of Expertise CMS Part B claims 2
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.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Trinity Health Muskegon Hospital
Acute Care Hospitals · Muskegon, MITrinity Health Grand Haven Hospital
Acute Care Hospitals · Grand Haven, MIPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 49444 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
MUSKEGON, MI 49444
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 Joann Spence's NPI number?
The NPI number for Joann Spence is 1356446942. It was assigned to this individual provider in the NPPES registry on September 14, 2006.
Where is Joann Spence located?
Joann Spence practices at 1500 E Sherman Blvd, Muskegon, MI 49444. The listed phone number is (734) 263-2400.
What is Joann Spence's specialty?
The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.
Is Joann Spence enrolled in Medicare?
Yes. Joann Spence 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 Joann Spence's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Joann Spence reassigns Medicare benefits to 7 organizations: Saint Mary's Health Services (Grand Rapids, MI), Psj Anesthesia PC (Southfield, MI), Novi Aas LLC (Novi, MI), West Michigan Aas LLC (Novi, MI), Northwestern Services, LLC (Farmington Hills, MI) and 2 more organizations, listed in the Medicare section above. 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 Joann Spence's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Joann Spence affiliated with any hospitals?
According to CMS data, Joann Spence is affiliated with Trinity Health Muskegon Hospital and Trinity Health Grand Haven Hospital.
When was this NPI record last updated?
The NPPES record for Joann Spence was last updated on November 21, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.
# Joann R Spence, CRNA · NPI 1356446942
Nurse Anesthetist, Certified Registered physician in Muskegon, Michigan. Individual provider, active in the CMS NPPES registry since September 14, 2006.
## Identity
- **NPI:** 1356446942 (Entity type: Individual)
- **Enumerated:** September 14, 2006
- **Primary specialty:** Nurse Anesthetist, Certified Registered · taxonomy 367500000X
- **State license:** 4704164703 (Michigan)
- **Sole proprietor:** No
## Practice location
- **Address:** 1500 E SHERMAN BLVD, Muskegon, MI 49444-1849
- **Phone:** (734) 263-2400
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Bills Medicare through:** 7 organizations under Medicare reassignment (form CMS-855R): Saint Mary's Health Services (NPI 1124063078, Grand Rapids, MI); Psj Anesthesia PC (NPI 1275905796, Southfield, MI); Novi Aas LLC (NPI 1598176919, Novi, MI); West Michigan Aas LLC (NPI 1295149227, Novi, MI); Northwestern Services, LLC (NPI 1083883649, Farmington Hills, MI); and 2 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 1990
## Record status
- **NPPES last updated:** November 21, 2024
- **Other identifiers:** Medicaid 2754475 (MI)
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Source: [NPI Profile](https://npiprofile.com/npi/1356446942) · Data from the CMS NPPES public registry.