Jonathon Glennon, CRNA
NPI 1104219088 · Certified Registered Nurse Anesthetist · Lansing, MI
Enrolled with Medicare as Practitioner - Certified Registered Nurse Anesthetist (crna) · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Jonathon Glennon, CRNA is a Certified Registered Nurse Anesthetist provider in Lansing, MI (NPI 1104219088).
Provider details
- NPI number
- 1104219088
- Entity type
- Individual
- Primary specialty
- Certified Registered Nurse AnesthetistPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- CRNA
- Sex
- Male
- Sole proprietor
- Yes
- License
- 4704240473 (MI)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2015-03-16
- Last updated
- 2015-03-16
Frequently asked questions
- What is Jonathon Glennon's NPI number?
- Jonathon Glennon's National Provider Identifier (NPI) is 1104219088, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jonathon Glennon's specialty?
- Jonathon Glennon is listed in the NPPES registry with a primary specialty of Certified Registered Nurse Anesthetist (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Jonathon Glennon located?
- Jonathon Glennon's practice location on file with NPPES is 4604 Old Lansing Rd, Lansing, MI 48917-4458.
- What is Jonathon Glennon's phone number?
- The practice phone number listed in the NPPES registry for Jonathon Glennon is (517) 322-9285.
- Does Jonathon Glennon accept Medicare?
- Jonathon Glennon is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Jonathon Glennon's NPI active?
- Yes — Jonathon Glennon's NPI (1104219088) is active in the NPPES registry as of the last update on 2015-03-16.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.