JACQUELINE MAINWARING (CRNA) – Certified Registered Nurse Anesthetist, NPI 1053349019

JACQUELINE MAINWARING (CRNA) is a healthcare provider. based in Jackson, Michigan. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials CRNA. They hold a License No. L6-0A00212 (DE). The NPI Number for JACQUELINE MAINWARING (CRNA) is 1053349019

Main info

Female
30 Years Of Experience
Accepts Medicare Assignment
Name
JACQUELINE MAINWARING (CRNA)
NPI
1053349019
Phone
(517) 787-6440
Address
744 W MICHIGAN AVE
Enumeration Date
29 June 2006
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3027331000
Graduation Year
1996 (30 years ago)
PAC ID
6305035346
Group Practice PAC ID
9537064498
Professional Enrollment ID
I20110106000797
Address ID
DE197182200NE4755XRDXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

266 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in DE

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Provider Addresses for JACQUELINE MAINWARING (CRNA)

  • 744, West Michigan Avenue, Jackson, Jackson County, Michigan, 49201, United States

    JACKSON, MI 492011909

    Phone: (517) 787-6440

    Fax: (517) 787-4146

    Type: Mailing

  • Pearson Professional Centers, 111, Continental Drive, Newark, New Castle County, Delaware, 19713, United States

    NEWARK, DE 197134317

    Phone: (302) 709-4504

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2011-01-06

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20110106000797ICertified Registered Nurse Anesthetist (Crna)DETBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 49201)

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Provider's Procedures

JACQUELINE MAINWARING (CRNA) performs procedures in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
CERTIFIED REGISTERED NURSE ANESTHETDE01402Anesthesia for open or endoscopic total knee joint replacement1313

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9537064498View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)DE
Certified Registered Nurse Anesthetist (Crna)DE
Certified Registered Nurse Anesthetist (Crna)DE
Certified Registered Nurse Anesthetist (Crna)DE
Certified Registered Nurse Anesthetist (Crna)DE
-MI
Certified Registered Nurse Anesthetist (Crna)DE
Certified Registered Nurse Anesthetist (Crna)DE
Certified Registered Nurse Anesthetist (Crna)PA
Anesthesiology, Pain ManagementNY

Reviews

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Frequently asked questions

What unique ID ties claims to JACQUELINE MAINWARING (CRNA)?
NPI 1053349019 is assigned to JACQUELINE MAINWARING (CRNA) under the national enumeration system.
Does this profile mean JACQUELINE MAINWARING (CRNA) is currently active?
Yes — JACQUELINE MAINWARING (CRNA) appears active in the national provider directory.
Can you summarize JACQUELINE MAINWARING (CRNA)'s specialty in plain language?
Clinically, the directory lists JACQUELINE MAINWARING (CRNA) with Certified Registered Nurse Anesthetist. Clinical services aligned with this taxonomy classification.
Where is JACQUELINE MAINWARING (CRNA)'s primary listing?
We display Jackson, Michigan because that is what the record indicates for JACQUELINE MAINWARING (CRNA).
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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