1. Home
  2. Directory
  3. Michigan
  4. Grand Rapids
  5. Anesthesiologist Assistant
  6. NPI Profile

ALEXANDER MERVENNE CAA
NPI 1497447262
Anesthesiologist Assistant in Grand Rapids, MI

Active since May 22, 2023Accepts Medicare Assignment
100 MICHIGAN ST NE, GRAND RAPIDS, MI 49503(616) 364-4200(616) 364-7347 Get Directions Write a Review

NPPES record last updated: May 22, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Alexander Mervenne Caa NPPES

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

ALEXANDER MERVENNE CAA (NPI 1497447262) is an individual anesthesiologist assistant in Grand Rapids, Michigan, licensed in Michigan (789789817) and active in the NPI registry since May 2023. He is affiliated with Northwest Health - Porter and is a graduate of Other (2023).

NPPES Registry Identity

NPI1497447262
Entity TypeIndividualMale
Primary Taxonomy367H00000X
Provider Legal NameALEXANDER MERVENNECredential: CAA
Location Address100 MICHIGAN ST NEGrand Rapids, MI 49503-2560
Mailing Address3333 Evergreen Dr NeGrand Rapids, MI 49525-9493 · (616) 364-4200 · Fax (616) 364-7347
Phone(616) 364-4200
Fax(616) 364-7347
Sole ProprietorYes
Medical School CMSOtherGraduated 2023
Enumeration DateMay 22, 2023
NPPES CertifiedMay 22, 2023
✔ NPI 1497447262 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAnesthesiologist AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367H00000X
License✔ Licensed in MI · 789789817
Definition
An individual certified by the state to perform anesthesia services under the direct supervision of an anesthesiologist. Anesthesiologist Assistants are required to have a bachelor's degree with a premed curriculum prior to entering a two-year anesthesiology assistant program, which is focused upon the delivery and maintenance of anesthesia care as well as advanced patient monitoring techniques. An Anesthesiologist Assistant must work as a member of the anesthesia care team under the direction of a qualified Anesthesiologist.
100 MICHIGAN ST NE, Grand Rapids, MI 49503
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Alexander Mervenne Caa 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 ID4385004977
PECOS Enrollment IDI20251112000193

Hospital Affiliations CMS Care Compare

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

Northwest Health - Porter

Acute Care Hospitals · Valparaiso, IN
3/5 CMS rating
OwnershipProprietary
CMS Certification Number150035
Location85 East Us Hwy 6Valparaiso, IN 46383 · Porter County
Emergency services Birthing friendly

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.

MAUREEN TAN PEDRES M.D.
Internal Medicine
100 MICHIGAN ST NE, SUITE A721
GRAND RAPIDS, MI 49503
Kent County (616) 391-3139
MATTHEW H ARMSTRONG MD
Anesthesiology
100 MICHIGAN ST NE
GRAND RAPIDS, MI 49503
Kent County (616) 391-1510
ALINE DE QUADROS TEIXEIRA MD
Internal Medicine
100 MICHIGAN ST NE
GRAND RAPIDS, MI 49503
Kent County (616) 391-3139
DR. LINDSEY DANIELLE CONRADO PT, DPT
Physical Therapist
100 MICHIGAN ST NE
GRAND RAPIDS, MI 49503
Kent County (161) 639-1177
DANIEL H. ROBINSON D.O.
Anesthesiology
100 MICHIGAN ST NE
GRAND RAPIDS, MI 49503
Kent County (616) 391-1510
MARK GREENWOOD DO
Emergency Medicine
100 MICHIGAN ST NE, MC 71
GRAND RAPIDS, MI 49503
Kent County (616) 391-5310
RAYMOND SCUREK MD
Emergency Medicine
100 MICHIGAN ST NE
GRAND RAPIDS, MI 49503
Kent County (616) 391-1680
MRS. RACHEL LEIGH VANSTRIEN PA-C
Physician Assistant
100 MICHIGAN ST NE, SUITE 8861
GRAND RAPIDS, MI 49503
Kent County (616) 391-0800

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 Alexander Mervenne's NPI number?

The NPI number for Alexander Mervenne is 1497447262. It was assigned to this individual provider in the NPPES registry on May 22, 2023.

Where is Alexander Mervenne located?

Alexander Mervenne practices at 100 Michigan St NE, Grand Rapids, MI 49503. The listed phone number is (616) 364-4200.

What is Alexander Mervenne's specialty?

The primary specialty registered for this NPI is Anesthesiologist Assistant with taxonomy code 367H00000X.

Is Alexander Mervenne enrolled in Medicare?

Yes. Alexander Mervenne 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.

Is Alexander Mervenne affiliated with any hospitals?

According to CMS data, Alexander Mervenne is affiliated with Northwest Health - Porter.

When was this NPI record last updated?

The NPPES record for Alexander Mervenne was last updated on May 22, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.