JENNIFER L SIMONS (CRNA) – Certified Registered Nurse Anesthetist, NPI 1679894117
Certified Registered Nurse Anesthetist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
2,692 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in MI
Provider Addresses for JENNIFER L SIMONS (CRNA)
1105 Sixth St
Traverse City, MI 496842386
Phone: (231) 935-5770
Fax: (231) 935-5000
Type: Location
3830 W Front St
Traverse City, MI 496848153
Phone: (231) 935-8101
Type: Location
4100 PARK FOREST DR
SUITE 210
TRAVERSE CITY, MI 496847331
Phone: (231) 935-5770
Fax: (231) 935-0747
Type: Mailing
4100 Park Forest Dr
Suite 210
Traverse City, MI 496847331
Phone: (231) 935-5770
Fax: (231) 935-0747
Type: Location
14700 LAKE SHORE DR
CHARLEVOIX, MI 497201999
Phone: (231) 547-4024
Fax: (231) 547-8088
Type: Mailing
10171 E SHORESIDE CT
TRAVERSE CITY, MI 496849567
Phone:
Type: Mailing
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: 2010-10-07
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20101007000798 | I | Certified Registered Nurse Anesthetist (Crna) | MI | TBD |
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.
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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 00142 | Anesthesia for lens surgery | 52 | 51 | $0 |
| 00731 | Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope | 11 | 11 | $0 |
| 00812 | Anesthesia for exam of colon using an endoscope | 11 | 11 | $0 |
Insurance plans in this area (ZIP 49684)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| CERTIFIED REGISTERED NURSE ANESTHET | MI | 00790 | Anesthesia for procedure in upper abdomen including use of an endoscope | 17 | 17 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| N E U R O L O G Y | MI | |
| - | MI | |
| - | MI | |
| - | MI | |
| - | MI | |
| - | MI | |
| - | MI | |
| N E U R O S U R G E R Y | MI | |
| Internal Medicine | IL | |
| Family Practice | MI |
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