Jason Fennema, CRNA
NPI 1174060537 · Certified Registered Nurse Anesthetist · Grand Rapids, MI
Enrolled with Medicare as Practitioner - Certified Registered Nurse Anesthetist (crna) · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Jason Fennema, CRNA is a Certified Registered Nurse Anesthetist provider in Grand Rapids, MI (NPI 1174060537).
Provider details
- NPI number
- 1174060537
- Entity type
- Individual
- Primary specialty
- Certified Registered Nurse AnesthetistPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- CRNA
- Sex
- Male
- Sole proprietor
- No
- License
- 4704279909 (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
9 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
4 documented practice locations
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
Additional practice locations (3)
- 1309 Sheldon RdGrand Haven, MI 49417-2404Phone: (616) 842-3600
- 550 W Western Ave Ste BMuskegon, MI 49440-1503Phone: (231) 726-4498
- 1500 E Sherman BlvdMuskegon, MI 49444-1849Phone: (231) 672-2000
Registry dates
- Enumerated
- 2017-01-24
- Last updated
- 2024-01-26
- Certified
- 2024-01-26
Frequently asked questions
- What is Jason Fennema's NPI number?
- Jason Fennema's National Provider Identifier (NPI) is 1174060537, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jason Fennema's specialty?
- Jason Fennema is listed in the NPPES registry with a primary specialty of Certified Registered Nurse Anesthetist (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Jason Fennema located?
- Jason Fennema's practice location on file with NPPES is 200 Jefferson Ave Se, Grand Rapids, MI 49503-4502.
- What is Jason Fennema's phone number?
- The practice phone number listed in the NPPES registry for Jason Fennema is (616) 391-1609.
- Does Jason Fennema accept Medicare?
- Jason Fennema is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Jason Fennema's NPI active?
- Yes — Jason Fennema's NPI (1174060537) is active in the NPPES registry as of the last update on 2024-01-26.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.