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JONTE DEVON JEFFERSON MD
NPI 1679156277
Anesthesiology in Wyoming, MI

Active since April 30, 2021PECOS EnrolledAccepts Medicare Assignment
5900 BYRON CENTER AVE SW, WYOMING, MI 49519(616) 364-4200(616) 364-7347 Get Directions Write a Review

NPPES record last updated: July 7, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 7, 2025, Aug 17, 2022, Jun 17, 2021 and 1 more (4 updates tracked since 2021).

About Jonte Devon Jefferson Md NPPES

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

JONTE DEVON JEFFERSON MD (NPI 1679156277) is an individual anesthesiology provider in Wyoming, Michigan, licensed in Michigan (4301512743) and active in the NPI registry since April 2021. He is enrolled in Medicare PECOS, is affiliated with Spectrum Health, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1679156277
Entity TypeIndividualMale
Primary Taxonomy207L00000X
Provider Legal NameJONTE DEVON JEFFERSONCredential: MD
Location Address5900 BYRON CENTER AVE SWWyoming, MI 49519-9606
Mailing Address3333 Evergreen Dr NeGrand Rapids, MI 49525-9493 · (616) 364-4200
Phone(616) 364-4200
Fax(616) 364-7347
Sole ProprietorNo
Medical School CMSMichigan State University College Of Human MedicineGraduated 2021
Enumeration DateApril 30, 2021
Last NPPES UpdateJuly 7, 20254 updates tracked since enumeration
NPPES CertifiedJuly 7, 2025
✔ NPI 1679156277 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyAnesthesiologyAllopathic & Osteopathic Physicians
Taxonomy Code207L00000X
Licenses✔ Licensed in MI · 4301512743✔ Licensed in MN · 71972
Definition
An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery.
Also ListedInternal MedicineTaxonomy 207R00000X · License 31574 (MN)
5900 BYRON CENTER AVE SW, Wyoming, MI 49519
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Secondary Practice Locations 2

Location 13333 Evergreen Dr NEGrand Rapids, MI 49525-9493 · Phone (616) 364-4200 · Fax (616) 364-7347
Location 2200 1st St SWRochester, MN 55905-0001 · Phone (507) 284-2511

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

Jonte Devon Jefferson Md 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 ID1052712163
PECOS Enrollment IDI20250728001136
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

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

Spectrum Health Primary Care Partners
1.8 mi
Family Medicine
5500 CLYDE PARK AVE SW
Wyoming, MI 49509
  • Reassigned Medicare billing, Michigan enrollment
  • 2,446 clinicians in this Medicare group
NPI 1275190456 (616) 486-6790

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 2

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

Spectrum Health

Acute Care Hospitals · Grand Rapids, MI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230038
Location100 Michigan St NEGrand Rapids, MI 49503 · Kent County
Emergency services Birthing friendly

University Of Michigan Health - West

Acute Care Hospitals · Wyoming, MI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230236
Location5900 Byron Center Avenue, SWWyoming, MI 49519 · Kent 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.

MATTHEW AARON ERCK DO
Internal Medicine
5900 BYRON CENTER AVE SW
WYOMING, MI 49519
Kent County (616) 252-7200
AMANDA BRONSON DO
Student in an Organized Health Care Education/Training Program
5900 BYRON CENTER AVE SW
WYOMING, MI 49519
Kent County (616) 252-7078
GANESH KUMAR DO
Student in an Organized Health Care Education/Training Program
5900 BYRON CENTER AVE SW
WYOMING, MI 49519
Kent County (616) 252-7200
DR. SARAH PRATT DO
Student in an Organized Health Care Education/Training Program
5900 BYRON CENTER AVE SW
WYOMING, MI 49519
Kent County (616) 252-7200
CASSANDRA PAIGE FRITCH NP
Nurse Practitioner (Family)
5900 BYRON CENTER AVE SW
WYOMING, MI 49519
Kent County (616) 252-7200
DR. TRISTAN J WORTHINGTON DO
Family Medicine
5900 BYRON CENTER AVE SW
WYOMING, MI 49519
Kent County (616) 252-7200
MRS. KELLY ANN MURPHY DNP, FNP-C
Nurse Practitioner (Family)
5900 BYRON CENTER AVE SW
WYOMING, MI 49519
Kent County (616) 252-3900
REBECCA S ZERIAL PA-C
Physician Assistant
5900 BYRON CENTER AVE SW
WYOMING, MI 49519
Kent County (616) 252-7200

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 Jonte Jefferson's NPI number?

The NPI number for Jonte Jefferson is 1679156277. It was assigned to this individual provider in the NPPES registry on April 30, 2021.

Where is Jonte Jefferson located?

Jonte Jefferson practices at 5900 Byron Center Ave SW, Wyoming, MI 49519. The listed phone number is (616) 364-4200.

What is Jonte Jefferson's specialty?

The primary specialty registered for this NPI is Anesthesiology with taxonomy code 207L00000X.

Is Jonte Jefferson enrolled in Medicare?

Yes. Jonte Jefferson 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 Jonte Jefferson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jonte Jefferson reassigns Medicare benefits to Spectrum Health Primary Care Partners (Wyoming, 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 Jonte Jefferson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Jonte Jefferson affiliated with any hospitals?

According to CMS data, Jonte Jefferson is affiliated with Spectrum Health and University Of Michigan Health - West.

When was this NPI record last updated?

The NPPES record for Jonte Jefferson was last updated on July 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.