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MS. ELIZABETH MARY MONDOUX CRNA
NPI 1760598890
Nurse Anesthetist, Certified Registered in Grand Rapids, MI

Active since August 22, 2006Accepts Medicare Assignment
3333 EVERGREEN DR NE, GRAND RAPIDS, MI 49525(616) 364-4200(616) 364-7347 Get Directions Write a Review

NPPES record last updated: July 3, 2014. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Ms. Elizabeth Mary Mondoux Crna NPPES

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

MS. ELIZABETH MARY MONDOUX CRNA (NPI 1760598890) is an individual nurse anesthetist, certified registered in Grand Rapids, Michigan, licensed in Michigan (4704159248) and active in the NPI registry since August 2006. She is affiliated with Spectrum Health and is a graduate of Other (1997).

NPPES Registry Identity

NPI1760598890
Entity TypeIndividualFemale
Primary Taxonomy367500000X
Provider Legal NameMS. ELIZABETH MARY MONDOUXCredential: CRNA
Location Address3333 EVERGREEN DR NEGrand Rapids, MI 49525-9756
Mailing Address3333 Evergreen Dr NeGrand Rapids, MI 49525-9756 · (616) 364-4200 · Fax (616) 364-7347
Phone(616) 364-4200
Fax(616) 364-7347
Sole ProprietorNo
Medical School CMSOtherGraduated 1997
Enumeration DateAugust 22, 2006
Last NPPES UpdateJuly 3, 2014
✔ NPI 1760598890 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 · 4704159248
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.
3333 EVERGREEN DR NE, Grand Rapids, MI 49525
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Other Names 1

Former Name (1)Ms. Elizabeth Mary Hewitt

Other Identifiers 2

Medicare ID-Type UnspecifiedM73860009
Medicaid4299254MI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company.Insurance ›

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

Ms. Elizabeth Mary Mondoux 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 ID9739368887
PECOS Enrollment IDI20110121000707, I20260221000014

Medicare Billing Reassignments

4

Medicare enrollment records show Elizabeth Mondoux reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

West Michigan Anesthesia, PC
Same address
Anesthesiology
3333 EVERGREEN DR NE
Grand Rapids, MI 49525
  • Reassigned Medicare billing, Michigan enrollment
  • 46 clinicians in this Medicare group
NPI 1225016926 (616) 364-4200
Anesthesia Medical Consultants, PC
0.1 mi
Anesthesiology
3333 EVERGREEN DR NE
Grand Rapids, MI 49525
  • Reassigned Medicare billing, Michigan enrollment
  • 117 clinicians in this Medicare group
NPI 1063710689 (616) 364-4200
Spectrum Health Primary Care Partners
1.6 mi
Nurse Practitioner
3271 CLEAR VISTA CT NE
Grand Rapids, MI 49525
  • Reassigned Medicare billing, Michigan enrollment
  • 2,446 clinicians in this Medicare group
NPI 1346480258 (616) 391-7800
Ut Lebonheur Pediatric Specialists, Inc.
593 mi
Pediatrics
848 ADAMS AVE.
Memphis, TN 38103
  • Reassigned Medicare billing, Tennessee enrollment
  • 582 clinicians in this Medicare group
NPI 1093024101 (901) 287-7337

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.

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49525 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
$126.15 typical visit price
range $54.34 – $166.68
Typical copayment $31.53 (range $13.58 – $41.67)
Most-billed visit code 99204
Established Patient
$68.07 typical visit price
range $17.09 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
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.

MR. JEFFREY RYAN HALL AA
Anesthesiologist Assistant
3333 EVERGREEN DR NE
GRAND RAPIDS, MI 49525
Kent County (616) 364-4200
MRS. LINDSAY E MCKELVEY CRNA
Nurse Anesthetist, Certified Registered
3333 EVERGREEN DR NE
GRAND RAPIDS, MI 49525
Kent County (616) 364-4200
DR. JEFFREY M RICKETTS DO
Anesthesiology
3333 EVERGREEN DR NE
GRAND RAPIDS, MI 49525
Kent County (616) 364-4200
MRS. HEATHER M MONTGOMERY-KANITZ CRNA
Nurse Anesthetist, Certified Registered
3333 EVERGREEN DR NE
GRAND RAPIDS, MI 49525
Kent County (616) 364-4200
DR. VIVIAN NNENNA ONYEWUCHE M.D.
Anesthesiology
3333 EVERGREEN DR NE
GRAND RAPIDS, MI 49525
Kent County (616) 364-4200
DR. ERIC LEE LARSON MD
Anesthesiology
3333 EVERGREEN DR NE
GRAND RAPIDS, MI 49525
Kent County (616) 364-4200
DR. ANNA MARIA UITVLUGT MD
Anesthesiology
3333 EVERGREEN DR NE
GRAND RAPIDS, MI 49525
Kent County (616) 364-4200
ANESTHESIA MEDICAL CONSULTANTS, PC
Anesthesiology
3333 EVERGREEN DR NE
GRAND RAPIDS, MI 49525
Kent County (616) 364-4200

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 Elizabeth Mondoux's NPI number?

The NPI number for Elizabeth Mondoux is 1760598890. It was assigned to this individual provider in the NPPES registry on August 22, 2006. The provider is also known as Ms. Elizabeth Mary Hewitt.

Where is Elizabeth Mondoux located?

Elizabeth Mondoux practices at 3333 Evergreen Dr NE, Grand Rapids, MI 49525. The listed phone number is (616) 364-4200.

What is Elizabeth Mondoux's specialty?

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

Is Elizabeth Mondoux enrolled in Medicare?

Yes. Elizabeth Mondoux 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 Elizabeth Mondoux's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Elizabeth Mondoux reassigns Medicare benefits to 4 organizations: West Michigan Anesthesia, PC (Grand Rapids, MI), Anesthesia Medical Consultants, PC (Grand Rapids, MI), Spectrum Health Primary Care Partners (Grand Rapids, MI) and Ut Lebonheur Pediatric Specialists, Inc. (Memphis, TN). 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 Elizabeth Mondoux's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Elizabeth Mondoux accept?

Health plans from Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Elizabeth Mondoux as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Elizabeth Mondoux affiliated with any hospitals?

According to CMS data, Elizabeth Mondoux is affiliated with Spectrum Health.

When was this NPI record last updated?

The NPPES record for Elizabeth Mondoux was last updated on July 3, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.