JESSICA LIGHTBODY CRNA
NPI 1730502261
Nurse Anesthetist, Certified Registered in Plymouth, MI

Active since February 04, 2014Accepts Medicare Assignment
40777 ANN ARBOR RD E, PLYMOUTH, MI 48170(800) 653-6568(313) 876-1305 Get Directions Write a Review

NPPES record last updated: March 10, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Mar 10, 2025, Mar 6, 2023 (2 updates tracked since 2023).

About Jessica Lightbody Crna NPPES

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

JESSICA LIGHTBODY CRNA (NPI 1730502261) is an individual nurse anesthetist, certified registered in Plymouth, Michigan, licensed in Michigan (4704272398) and active in the NPI registry since February 2014. She maintains a secondary practice location in Port Huron and is a graduate of Other (2013).

NPPES Registry Identity

NPI1730502261
Entity TypeIndividualFemale
Primary Taxonomy367500000X
Provider Legal NameJESSICA LIGHTBODYCredential: CRNA
Location Address40777 ANN ARBOR RD EPlymouth, MI 48170-4448
Mailing Address1 Ford Pl Ste 3aDetroit, MI 48202-3450 · (800) 853-6568 · Fax (313) 876-1305
Fax(313) 876-1305
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateFebruary 4, 2014
Last NPPES UpdateMarch 10, 20252 updates tracked since enumeration
NPPES CertifiedMarch 10, 2025
NPI 1730502261 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
License Licensed in MI · 4704272398
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.

40777 ANN ARBOR RD E, Plymouth, MI 48170

Secondary Practice Location 1

Location 12601 Electric AvePort Huron, MI 48060-6587 · Phone (810) 985-1500

Accepted Insurance

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

Jessica Lightbody 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 ID2769613066
PECOS Enrollment IDI20140331001251

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Anesthesia for other procedure on large bowel using an endoscope 00811
Anesthesia for an endoscopic procedure on the large bowel ensures comfort and relaxation during the procedure. You'll be given medication to make you drowsy or asleep, eliminating any discomfort. The medication can be administered through a vein or inhaled.
33 services33 patients
Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope 00731
This procedure involves the use of an endoscope, a flexible tube with a light and camera, to examine your esophagus, stomach, or upper small bowel. Anesthesia ensures you are comfortable and pain-free during the procedure.
17 services17 patients
Anesthesia for procedure on small and large bowel using an endoscope 00813
Anesthesia for an endoscopic procedure on the small and large bowel ensures comfort and relaxation during the procedure. It involves administering medicine to help you sleep or feel drowsy. This allows the doctor to examine your bowels without causing you discomfort or pain.
13 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48170 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 15

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pharmacy (Community/Retail Pharmacy)
40777 ANN ARBOR RD E
PLYMOUTH, MI 48170
Physician Assistant
40777 ANN ARBOR RD E
PLYMOUTH, MI 48170
Nurse Anesthetist, Certified Registered
40777 ANN ARBOR RD E
PLYMOUTH, MI 48170
Pharmacist (Ambulatory Care)
40777 ANN ARBOR RD E
PLYMOUTH, MI 48170
Physician Assistant
40777 ANN ARBOR RD E
PLYMOUTH, MI 48170
Clinic/Center (Ambulatory Surgical)
40777 ANN ARBOR RD E
PLYMOUTH, MI 48170
Nurse Anesthetist, Certified Registered
40777 ANN ARBOR RD E
PLYMOUTH, MI 48170
Pharmacist (Ambulatory Care)
40777 ANN ARBOR RD E
PLYMOUTH, MI 48170

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1730502261, enumerated as an "individual" on February 04, 2014.

The provider is located at 40777 ANN ARBOR RD E PLYMOUTH, MI 48170 and the phone number is (800) 653-6568.

Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

The provider might be accepting Accepts: Blue Care Network of Michigan and Blue Cross Blue. Please consult your insurance carrier or call the provider to verify.