1. Home
  2. Directory
  3. Michigan
  4. Ypsilanti
  5. Nurse Anesthetist Certified Registered
  6. NPI Profile

JESSICA FORTIN CRNA
NPI 1669979670
Nurse Anesthetist, Certified Registered in Ypsilanti, MI

Active since April 07, 2018Accepts Medicare Assignment
5301 E HURON RIVER DR, YPSILANTI, MI 48197(734) 712-3456 Get Directions Write a Review

NPPES record last updated: October 2, 2019. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Jessica Fortin Crna NPPES

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

JESSICA FORTIN CRNA (NPI 1669979670) is an individual nurse anesthetist, certified registered in Ypsilanti, Michigan, licensed in Michigan (4704308220) and active in the NPI registry since April 2018. She is affiliated with Trinity Health Ann Arbor Hospital and is a graduate of Other (2019).

NPPES Registry Identity

NPI1669979670
Entity TypeIndividualFemale
Primary Taxonomy367500000X
Provider Legal NameJESSICA FORTINCredential: CRNA
Location Address5301 E HURON RIVER DRYpsilanti, MI 48197-1051
Mailing Address6004 Reliable Parkway Lockbox Chi 866004Chicago, IL 60686-0060 · (734) 263-2400
Phone(734) 712-3456
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateApril 7, 2018
Last NPPES UpdateOctober 2, 2019
✔ NPI 1669979670 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
License✔ Licensed in MI · 4704308220
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.
Also ListedRegistered NurseTaxonomy 163W00000X · License RN2293762 (MA)
5301 E HURON RIVER DR, Ypsilanti, MI 48197
Open in Google Maps ↗

Other Identifiers 1

Medicaid1669979670MI

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

Jessica Fortin 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 ID7214266410
PECOS Enrollment IDI20190913001037

Medicare Billing Reassignments

2

Medicare enrollment records show Jessica Fortin reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Sjmhs Anesthesia Services
2.9 mi
Anesthesiology
5301 E HURON RIVER DR
Ypsilanti, MI 48197
  • Reassigned Medicare billing, Michigan enrollment
  • 151 clinicians in this Medicare group
NPI 1508201617 (734) 712-3456
Long Lake Anesthesiology Consultants, Plc
33 mi
Anesthesiology
4550 INVESTMENT DR, SUITE 100
Troy, MI 48098
  • Reassigned Medicare billing, Michigan enrollment
  • 131 clinicians in this Medicare group
NPI 1194812651 (800) 581-9044

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.

Trinity Health Ann Arbor Hospital

Acute Care Hospitals · Ann Arbor, MI
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number230156
Location5301 E Huron River DrAnn Arbor, MI 48106 · Washtenaw County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48197 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
$134.28 typical visit price
range $58.04 – $177.36
Typical copayment $33.57 (range $14.51 – $44.34)
Most-billed visit code 99204
Established Patient
$72.38 typical visit price
range $18.32 – $143.49
Typical copayment $18.09 (range $4.58 – $35.87)
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.

BRETTON LEE SCHLOESSER M.D.
Internal Medicine
5301 E HURON RIVER DR
YPSILANTI, MI 48197
Washtenaw County (734) 712-8676
DR. KELLY PERRY APPLE M.D.
Internal Medicine
5301 E HURON RIVER DR
YPSILANTI, MI 48197
Washtenaw County (734) 712-8676
MR. DANIEL PATRICK DEFER P.A.-C
Physician Assistant (Surgical)
5301 E HURON RIVER DR
YPSILANTI, MI 48197
Washtenaw County (734) 712-5609
ERIN M PRENTICE NP
Nurse Practitioner
5301 E HURON RIVER DR
YPSILANTI, MI 48197
Washtenaw County (734) 712-8676
MS. MARLA BRIT MEADOR CRNA
Nurse Anesthetist, Certified Registered
5301 E HURON RIVER DR
YPSILANTI, MI 48197
Washtenaw County (734) 712-3456
MRS. MARTHA ANN LEVEQUE CRNA
Nurse Anesthetist, Certified Registered
5301 E HURON RIVER DR
YPSILANTI, MI 48197
Washtenaw County (734) 712-3840
DIVYA MAHESHWARI MD
Internal Medicine
5301 E HURON RIVER DR
YPSILANTI, MI 48197
Washtenaw County (737) 712-8676
DR. KRISTEN ALEXIS YEE M.D.
Internal Medicine
5301 E HURON RIVER DR
YPSILANTI, MI 48197
Washtenaw County (734) 712-8676

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 Jessica Fortin's NPI number?

The NPI number for Jessica Fortin is 1669979670. It was assigned to this individual provider in the NPPES registry on April 7, 2018.

Where is Jessica Fortin located?

Jessica Fortin practices at 5301 E Huron River Dr, Ypsilanti, MI 48197. The listed phone number is (734) 712-3456.

What is Jessica Fortin's specialty?

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

Is Jessica Fortin enrolled in Medicare?

Yes. Jessica Fortin 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 Jessica Fortin's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jessica Fortin reassigns Medicare benefits to 2 organizations: Sjmhs Anesthesia Services (Ypsilanti, MI) and Long Lake Anesthesiology Consultants, Plc (Troy, 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 Jessica Fortin's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Jessica Fortin affiliated with any hospitals?

According to CMS data, Jessica Fortin is affiliated with Trinity Health Ann Arbor Hospital.

When was this NPI record last updated?

The NPPES record for Jessica Fortin was last updated on October 2, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.