JENNIFER DYAN THAYER CRNA
NPI 1912093949
Nurse Anesthetist, Certified Registered in Detroit, MI

Active since October 05, 2006
83.35/100
CMS Quality Rating
22101 MOROSS RD, DETROIT, MI 48236(313) 343-4766 Get Directions Write a Review

NPPES record last updated: October 17, 2019. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Jennifer Dyan Thayer Crna NPPES

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

JENNIFER DYAN THAYER CRNA (NPI 1912093949) is an individual nurse anesthetist, certified registered in Detroit, Michigan, licensed in Michigan (4704221361) and active in the NPI registry since October 2006. She is affiliated with Ascension St John Hospital and is a graduate of Other (2004).

NPPES Registry Identity

NPI1912093949
Entity TypeIndividualFemale
Primary Taxonomy367500000X
Provider Legal NameJENNIFER DYAN THAYERCredential: CRNA
Location Address22101 MOROSS RDDetroit, MI 48236-2148
Mailing Address27992 Hambeltonian DrChesterfield, MI 48047-4897 · (586) 909-9541
Sole ProprietorNo
Medical School CMSOtherGraduated 2004
Enumeration DateOctober 5, 2006
Last NPPES UpdateOctober 17, 2019
✔ NPI 1912093949 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 · 4704221361
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.
22101 MOROSS RD, Detroit, MI 48236

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jennifer Dyan Thayer Crna is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4486610441
PECOS Enrollment IDI20041202000141

Medicare Billing Reassignments

6

Medicare enrollment records show Jennifer Thayer 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
22101 MOROSS RD, SUITE 101
Detroit, MI 48236
  • Reassigned Medicare billing, Michigan enrollment
  • 132 clinicians in this Medicare group
Nurse Anesthetist, Certified Registered
11800 E 12 MILE RD
Warren, MI 48093
  • Reassigned Medicare billing, Michigan enrollment
  • Also billed through NPI 1871793505 (Michigan)
  • 78 clinicians in this Medicare group
Anesthesiology
37399 GARFIELD RD STE 104
Clinton Township, MI 48036
  • Reassigned Medicare billing, Michigan enrollment
  • 18 clinicians in this Medicare group
Nurse Anesthetist, Certified Registered
29201 TELEGRAPH RD STE 315
Southfield, MI 48034
  • Reassigned Medicare billing, Michigan enrollment
  • 29 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
Nurse Anesthetist, Certified Registered
4100 RIVER RD
East China, MI 48054
  • Reassigned Medicare billing, Michigan enrollment
  • 29 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.

Ascension St John Hospital

Acute Care Hospitals · Detroit, MI
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number230165
Location22101 Moross RdDetroit, MI 48236 · Wayne County
Emergency services Birthing friendly

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.

83.35/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality68.06
Promoting Interoperability100
Improvement Activities40
Cost60.61

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.

Social Worker (Clinical)
22101 MOROSS RD
DETROIT, MI 48236
Pathology (Anatomic Pathology & Clinical Pathology)
22101 MOROSS RD
DETROIT, MI 48236
Nurse Practitioner (Acute Care)
22101 MOROSS RD
DETROIT, MI 48236
Anesthesiology
22101 MOROSS RD
DETROIT, MI 48236
Physical Therapist
22101 MOROSS RD
DETROIT, MI 48236
Pathology (Anatomic Pathology & Clinical Pathology)
22101 MOROSS RD
DETROIT, MI 48236
Clinic/Center
22101 MOROSS RD
DETROIT, MI 48236
Internal Medicine
22101 MOROSS RD, PB2 SUITE 50
DETROIT, MI 48236

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 Jennifer Thayer's NPI number?

The NPI number for Jennifer Thayer is 1912093949. It was assigned to this individual provider in the NPPES registry on October 5, 2006.

Where is Jennifer Thayer located?

Jennifer Thayer practices at 22101 Moross Rd, Detroit, MI 48236. The listed phone number is (313) 343-4766.

What is Jennifer Thayer's specialty?

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

Is Jennifer Thayer enrolled in Medicare?

Yes. Jennifer Thayer is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Jennifer Thayer's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jennifer Thayer reassigns Medicare benefits to 6 organizations: Henry Ford Health St. John Hospital (Detroit, MI), Henry Ford Health Macomb Oakland Hospital (Warren, MI), Trillium Anesthesia Services, PLLC (Clinton Township, MI), Comprehensive Anesthesia & Perioperative Services, Inc. (Southfield, 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 Jennifer Thayer's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Jennifer Thayer affiliated with any hospitals?

According to CMS data, Jennifer Thayer is affiliated with Ascension St John Hospital.

When was this NPI record last updated?

The NPPES record for Jennifer Thayer was last updated on October 17, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.