MS. ANN MARIE LIETAERT CRNA
NPI 1811257496
Nurse Anesthetist, Certified Registered in Grand Rapids, MI
About Ms. Ann Marie Lietaert Crna NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MS. ANN MARIE LIETAERT CRNA (NPI 1811257496) is an individual nurse anesthetist, certified registered in Grand Rapids, Michigan, licensed in Michigan (4704291439) and active in the NPI registry since May 2012. She is affiliated with Spectrum Health and is a graduate of Other (2012).
NPPES Registry Identity
Specialties & Licenses
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
Ms. Ann Marie Lietaert 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.
Medicare Billing Reassignments
4Medicare enrollment records show Ann Marie Lietaert reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Grand Rapids, MI 49525
- Reassigned Medicare billing, Michigan enrollment
- 2,446 clinicians in this Medicare group
Grand Rapids, MI 49546
- Reassigned Medicare billing, Michigan enrollment
- 42 clinicians in this Medicare group
Holland, MI 49423
- Reassigned Medicare billing, Michigan enrollment
- 20 clinicians in this Medicare group
Monroe, MI 48161
- Reassigned Medicare billing, Michigan enrollment
- 13 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.
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, MIPhysician 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.
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.
GRAND RAPIDS, MI 49525
GRAND RAPIDS, MI 49525
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 Ann Marie Lietaert's NPI number?
The NPI number for Ann Marie Lietaert is 1811257496. It was assigned to this individual provider in the NPPES registry on May 17, 2012.
Where is Ann Marie Lietaert located?
Ann Marie Lietaert practices at 3333 Evergreen Dr NE, Grand Rapids, MI 49525. The listed phone number is (616) 364-4200.
What is Ann Marie Lietaert's specialty?
The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.
Is Ann Marie Lietaert enrolled in Medicare?
Yes. Ann Marie Lietaert 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 Ann Marie Lietaert's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Ann Marie Lietaert reassigns Medicare benefits to 4 organizations: Spectrum Health Primary Care Partners (Grand Rapids, MI), Celebrity Anesthesia Staffing LLC (Grand Rapids, MI), Macatawa Anesthesia PC (Holland, MI) and Anesthesia Professional Services PC (Monroe, 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 Ann Marie Lietaert's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Ann Marie Lietaert accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 1 other insurer list Ann Marie Lietaert 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 Ann Marie Lietaert affiliated with any hospitals?
According to CMS data, Ann Marie Lietaert is affiliated with Spectrum Health.
When was this NPI record last updated?
The NPPES record for Ann Marie Lietaert was last updated on February 27, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.
# Ms. Ann Marie Lietaert, CRNA · NPI 1811257496
Nurse Anesthetist, Certified Registered physician in Grand Rapids, Michigan. Individual provider, active in the CMS NPPES registry since May 17, 2012.
## Identity
- **NPI:** 1811257496 (Entity type: Individual)
- **Enumerated:** May 17, 2012
- **Primary specialty:** Nurse Anesthetist, Certified Registered · taxonomy 367500000X
- **State license:** 4704291439 (Michigan)
- **Sole proprietor:** No
## Practice location
- **Address:** 3333 EVERGREEN DR NE, Grand Rapids, MI 49525-9493
- **Phone:** (616) 364-4200 · **Fax:** (616) 364-7347
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Bills Medicare through:** 4 organizations under Medicare reassignment (form CMS-855R): Spectrum Health Primary Care Partners (NPI 1346480258, Grand Rapids, MI); Celebrity Anesthesia Staffing LLC (NPI 1235728403, Grand Rapids, MI); Macatawa Anesthesia PC (NPI 1942242136, Holland, MI); Anesthesia Professional Services PC (NPI 1750304622, Monroe, MI) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2012
## Record status
- **NPPES last updated:** February 27, 2013
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Source: [NPI Profile](https://npiprofile.com/npi/1811257496) · Data from the CMS NPPES public registry.