JASON GERALD REWALT (CRNA) – Certified Registered Nurse Anesthetist, NPI 1790234011

Certified Registered Nurse Anesthetist

JASON GERALD REWALT (CRNA) is a healthcare provider. based in Richmond, Michigan. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials CRNA. They hold a License No. 4704282799 (MI). The NPI Number for JASON GERALD REWALT (CRNA) is 1790234011

Main info

Male

10 Years Of Experience

Accepts Medicare Assignment

Name

JASON GERALD REWALT (CRNA)

NPI

1790234011

Phone

(586) 242-0687

Address

37583 MULBERRY LN

Enumeration Date

27 September 2016

Last Update Date

27 September 2016

Doctor Profile

Medical School Name

WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE

Secondary Phone

8102164300

Graduation Year

2016 (10 years ago)

PAC ID

8224317086

Group Practice PAC ID

6709321268

Professional Enrollment ID

I20161118000053

Address ID

MI480593882FO4190XAVEX300

Data current as of

20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology

Experience32

Completeness75

Years active:9State licenses:1Digital endpointsOther names

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

Loading map...

Provider Addresses for JASON GERALD REWALT (CRNA)

Mulberry Lane, Muttonville, Richmond, Macomb County, Michigan, 48062, United States
RICHMOND, MI 480621662
Phone: (586) 242-0687
Type: Mailing
McLaren Port Huron, 1221, Pine Grove Avenue, Port Huron, Saint Clair County, Michigan, 48060, United States
PORT HURON, MI 480603511
Phone: (810) 987-5000
Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

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: 2016-11-18

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

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
I20161118000053	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.

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCS	Description	Services	Beneficiaries	Medicare allowed
00670	Anesthesia for extensive surgery on spine	14	14	$0
00811	Anesthesia for other procedure on large bowel using an endoscope	11	11	$0

View full utilization report →

Insurance plans in this area (ZIP 48062)

Loading plans...

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: 6709321268View full group profile

Name	Specialty	State
PHILIP ROSS LEPINE (CRNA)	Certified Registered Nurse Anesthetist (Crna)	MI
MRS. JENELLE LYNN FYE (CRNA)	Certified Registered Nurse Anesthetist (Crna)	MI
MS. SARA BARNETT (CRNA)	Certified Registered Nurse Anesthetist (Crna)	MI
MS. KATHLEEN M. LABELLE (CRNA)	Certified Registered Nurse Anesthetist (Crna)	MI
CRAIG HUARD (CRNA)	Certified Registered Nurse Anesthetist (Crna)	MI
CYNTHIA M THORNE (CRNA)	Certified Registered Nurse Anesthetist (Crna)	MI

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

What is the registry number for JASON GERALD REWALT (CRNA)?

The registry entry for JASON GERALD REWALT (CRNA) shows NPI 1790234011.

Is JASON GERALD REWALT (CRNA)'s NPI status active today?

Active status means JASON GERALD REWALT (CRNA)'s NPI record is not deactivated in the public file.

What services align with JASON GERALD REWALT (CRNA)'s listing?

JASON GERALD REWALT (CRNA)'s public classification highlights Certified Registered Nurse Anesthetist. Clinical services aligned with this taxonomy classification.

Which community is linked to JASON GERALD REWALT (CRNA)?

JASON GERALD REWALT (CRNA) shows a connection to Richmond, Michigan in registry-derived data.

Why is information missing for JASON GERALD REWALT (CRNA)?

Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.