JACQUELINE L SPATAFORA CRNA
NPI 1538148986
Nurse Anesthetist, Certified Registered in Bloomfield Hills, MI
About Jacqueline L Spatafora Crna NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JACQUELINE L SPATAFORA CRNA (NPI 1538148986) is an individual nurse anesthetist, certified registered in Bloomfield Hills, Michigan, licensed in Michigan (4704140367) and active in the NPI registry since January 2006. She is affiliated with Ascension St John Hospital and is a graduate of Wayne State University School Of Medicine (1989).
NPPES Registry Identity
Specialties & Licenses
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
Jacqueline L Spatafora 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
3Medicare enrollment records show Jacqueline Spatafora reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Southfield, MI 48034
- Reassigned Medicare billing, Michigan enrollment
- 29 clinicians in this Medicare group
Mount Clemens, MI 48043
- Reassigned Medicare billing, Michigan enrollment
- 16 clinicians in this Medicare group
Detroit, MI 48236
- Reassigned Medicare billing, Michigan enrollment
- 132 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.
Ascension St John Hospital
Acute Care Hospitals · Detroit, MIPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 48304 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Other Providers at the Same Location NPPES 11
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
BLOOMFIELD HILLS, MI 48304
BLOOMFIELD HILLS, MI 48304
BLOOMFIELD HILLS, MI 48304
BLOOMFIELD HILLS, MI 48304
BLOOMFIELD HILLS, MI 48304
BLOOMFIELD HILLS, MI 48304
BLOOMFIELD HILLS, MI 48304
BLOOMFIELD HILLS, MI 48304
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 Jacqueline Spatafora's NPI number?
The NPI number for Jacqueline Spatafora is 1538148986. It was assigned to this individual provider in the NPPES registry on January 13, 2006.
Where is Jacqueline Spatafora located?
Jacqueline Spatafora practices at 790 Kensington Ln, Bloomfield Hills, MI 48304. The listed phone number is (734) 241-3891.
What is Jacqueline Spatafora's specialty?
The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.
Is Jacqueline Spatafora enrolled in Medicare?
Yes. Jacqueline Spatafora 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 Jacqueline Spatafora's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jacqueline Spatafora reassigns Medicare benefits to 3 organizations: Comprehensive Anesthesia & Perioperative Services, Inc. (Southfield, MI), Lakeside Anesthesia Associates, PLLC (Mount Clemens, MI) and Henry Ford Health St. John Hospital (Detroit, 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 Jacqueline Spatafora's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Jacqueline Spatafora affiliated with any hospitals?
According to CMS data, Jacqueline Spatafora is affiliated with Ascension St John Hospital.
When was this NPI record last updated?
The NPPES record for Jacqueline Spatafora was last updated on July 9, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.
# Jacqueline L Spatafora, CRNA · NPI 1538148986
Nurse Anesthetist, Certified Registered physician in Bloomfield Hills, Michigan. Individual provider, active in the CMS NPPES registry since January 13, 2006.
## Identity
- **NPI:** 1538148986 (Entity type: Individual)
- **Enumerated:** January 13, 2006
- **Primary specialty:** Nurse Anesthetist, Certified Registered · taxonomy 367500000X
- **State license:** 4704140367 (Michigan)
- **Sole proprietor:** No
## Practice location
- **Address:** 790 KENSINGTON LN, Bloomfield Hills, MI 48304-3744
- **Phone:** (734) 241-3891 · **Fax:** (734) 241-0014
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Comprehensive Anesthesia & Perioperative Services, Inc. (NPI 1245202241, Southfield, MI); Lakeside Anesthesia Associates, PLLC (NPI 1073534947, Mount Clemens, MI); Henry Ford Health St. John Hospital (NPI 1598896995, Detroit, MI) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Wayne State University School Of Medicine, class of 1989
## Record status
- **NPPES last updated:** July 9, 2007
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Source: [NPI Profile](https://npiprofile.com/npi/1538148986) · Data from the CMS NPPES public registry.