JASON GERALD REWALT CRNA
NPI 1790234011
Nurse Anesthetist, Certified Registered in Port Huron, MI

Active since September 27, 2016Accepts Medicare Assignment
78.01/100
CMS Quality Rating
1221 PINE GROVE AVE, PORT HURON, MI 48060(810) 987-5000 Get Directions Write a Review

NPPES record last updated: September 27, 2016. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Jason Gerald Rewalt Crna NPPES

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

JASON GERALD REWALT CRNA (NPI 1790234011) is an individual nurse anesthetist, certified registered in Port Huron, Michigan, licensed in Michigan (4704282799) and active in the NPI registry since September 2016. He is affiliated with Mclaren Port Huron and is a graduate of Wayne State University School Of Medicine (2016).

NPPES Registry Identity

NPI1790234011
Entity TypeIndividualMale
Primary Taxonomy367500000X
Provider Legal NameJASON GERALD REWALTCredential: CRNA
Location Address1221 PINE GROVE AVEPort Huron, MI 48060-3511
Mailing Address37583 Mulberry LnRichmond, MI 48062-1662 · (586) 242-0687
Sole ProprietorNo
Medical School CMSWayne State University School Of MedicineGraduated 2016
Enumeration DateSeptember 27, 2016
✔ NPI 1790234011 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 · 4704282799
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.
1221 PINE GROVE AVE, Port Huron, MI 48060

Accepted 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

Jason Gerald Rewalt 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 ID8224317086
PECOS Enrollment IDI20161118000053

Medicare Billing Reassignments

6

Medicare enrollment records show Jason Rewalt reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Nurse Anesthetist, Certified Registered
2601 ELECTRIC AVE
Port Huron, MI 48060
  • Reassigned Medicare billing, Michigan enrollment
  • 24 clinicians in this Medicare group
Nurse Anesthetist, Certified Registered
4190 24TH AVE
Fort Gratiot, MI 48059
  • Reassigned Medicare billing, Michigan enrollment
  • 12 clinicians in this Medicare group
Nurse Anesthetist, Certified Registered
4100 RIVER RD
East China, MI 48054
  • Reassigned Medicare billing, Michigan enrollment
  • 29 clinicians in this Medicare group
Anesthesiology
15855 19 MILE RD
Clinton Township, MI 48038
  • Reassigned Medicare billing, Michigan enrollment
  • 83 clinicians in this Medicare group
Nurse Anesthetist, Certified Registered
1101 W UNIVERSITY DR
Rochester, MI 48307
  • Reassigned Medicare billing, Michigan enrollment
  • 359 clinicians in this Medicare group
Pain Medicine
6225 N STATE HIGHWAY 161 STE 200
Irving, TX 75038
  • Reassigned Medicare billing, Michigan enrollment
  • 905 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.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the 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 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.
18 services17 patients
Anesthesia for other procedure on eye 00140
Anesthesia for an eye procedure involves administering medication to numb your eye and surrounding area, ensuring you feel no pain during the operation. It can be local (only the eye area) or general (whole body). It's safe and helps make the procedure comfortable.
17 services17 patients
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.
15 services14 patients
Anesthesia for lens surgery 00142
Anesthesia for lens surgery involves administering medication to numb the eye area, ensuring you feel no pain during the procedure. This can be a local anesthetic (numbing only the eye area) or general (where you're asleep). It helps make the surgery comfortable and stress-free.
12 services12 patients

Hospital Affiliations CMS Care Compare 2

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

Mclaren Port Huron

Acute Care Hospitals · Port Huron, MI
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230216
Location1221 Pine Grove AvePort Huron, MI 48060 · St. Clair County
Emergency services Birthing friendly

Mclaren Macomb

Acute Care Hospitals · Mount Clemens, MI
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230227
Location1000 Harrington StMount Clemens, MI 48043 · Macomb County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48060 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.

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.

78.01/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality86.01
Promoting Interoperability98
Improvement Activities40
Cost42.38

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.

Nurse Practitioner (Acute Care)
1221 PINE GROVE AVE
PORT HURON, MI 48060
Registered Nurse
1221 PINE GROVE AVE
PORT HURON, MI 48060
Clinic/Center (Magnetic Resonance Imaging (MRI))
1221 PINE GROVE AVE
PORT HURON, MI 48060
Nurse Practitioner (Acute Care)
1221 PINE GROVE AVE
PORT HURON, MI 48060
Obstetrics & Gynecology
1221 PINE GROVE AVE
PORT HURON, MI 48060
Nurse Anesthetist, Certified Registered
1221 PINE GROVE AVE
PORT HURON, MI 48060
Emergency Medicine
1221 PINE GROVE AVE, PORT HURON HOSPITAL EMERGENCY DEPT
PORT HURON, MI 48060
Physical Therapist
1221 PINE GROVE AVE
PORT HURON, MI 48060

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 Jason Rewalt's NPI number?

The NPI number for Jason Rewalt is 1790234011. It was assigned to this individual provider in the NPPES registry on September 27, 2016.

Where is Jason Rewalt located?

Jason Rewalt practices at 1221 Pine Grove Ave, Port Huron, MI 48060. The listed phone number is (810) 987-5000.

What is Jason Rewalt's specialty?

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

Is Jason Rewalt enrolled in Medicare?

Yes. Jason Rewalt 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 Jason Rewalt's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jason Rewalt reassigns Medicare benefits to 6 organizations: Prime Healthcare Services-Port Huron LLC (Port Huron, MI), Lakeshore Surgery Anesthesia Billing (Fort Gratiot, MI), Henry Ford Health River District Hospital (East China, MI), Macomb Anesthesia, PC (Clinton Township, MI), Asa Staffing Inc (Rochester, MI) and 1 more organization, listed in the Medicare section above. 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 Jason Rewalt's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jason Rewalt accept?

Health plans from Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Jason Rewalt 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 Jason Rewalt affiliated with any hospitals?

According to CMS data, Jason Rewalt is affiliated with Mclaren Port Huron and Mclaren Macomb.

When was this NPI record last updated?

The NPPES record for Jason Rewalt was last updated on September 27, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.