JEREMIE NATHAN RENE (CRNA, RN) – Certified Registered Nurse Anesthetist, NPI 1063158517

JEREMIE NATHAN RENE (CRNA, RN) is a healthcare provider. based in Ann arbor, Michigan. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials CRNA, RN. They hold a License No. 4704328516 (MI). The NPI Number for JEREMIE NATHAN RENE (CRNA, RN) is 1063158517

Main info

Male
Sole Proprietor
2 Years Of Experience
Accepts Medicare Assignment
Name
JEREMIE NATHAN RENE (CRNA, RN)
NPI
1063158517
Phone
(989) 992-5779
Address
1527 LONG MEADOW TRL
Enumeration Date
9 May 2022
Last Update Date
16 December 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7342632400
Graduation Year
2024 (2 years ago)
PAC ID
3072047737
Group Practice PAC ID
4981500436
Professional Enrollment ID
I20241118001476
Address ID
MI495034502GR200XXSEXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience37
Completeness75
Years active:4State licenses:1Digital endpointsOther names

2,692 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in MI

Provider Addresses for JEREMIE NATHAN RENE (CRNA, RN)

  • 1527 LONG MEADOW TRL

    ANN ARBOR, MI 481089633

    Phone: (989) 992-5779

    Mailing address matches the actual address.

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: 2024-11-18

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
I20241118001476ICertified Registered Nurse Anesthetist (Crna)MITBD

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 48108)

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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: 4981500436View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)MI
Certified Registered Nurse Anesthetist (Crna)MI
Certified Registered Nurse Anesthetist (Crna)PA
-MI
A N E S T H E S I O L O G YWI
A N E S T H E S I O L O G YMI
A N E S T H E S I O L O G YMI
Certified Registered Nurse Anesthetist (Crna)MI
Certified Registered Nurse Anesthetist (Crna)MI
-MI

Reviews

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Frequently asked questions

How do payers reference JEREMIE NATHAN RENE (CRNA, RN)?
For JEREMIE NATHAN RENE (CRNA, RN), use NPI 1063158517 as the unique 10-digit identifier.
Is JEREMIE NATHAN RENE (CRNA, RN) still an active registrant?
JEREMIE NATHAN RENE (CRNA, RN) carries an active NPI according to the public dataset.
What kind of doctor is JEREMIE NATHAN RENE (CRNA, RN)?
JEREMIE NATHAN RENE (CRNA, RN) is associated with Certified Registered Nurse Anesthetist in the directory — Clinical services aligned with this taxonomy classification.
Where in Michigan is JEREMIE NATHAN RENE (CRNA, RN) registered?
Use Ann Arbor, Michigan as the headline location for JEREMIE NATHAN RENE (CRNA, RN) here.
When was this NPI issued?
Enumeration for JEREMIE NATHAN RENE (CRNA, RN) is noted as May 9, 2022 where the registry provides it.

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