REBECCA STIENSTRA (CRNA) – Certified Registered Nurse Anesthetist, NPI 1902370745

REBECCA STIENSTRA (CRNA) is a healthcare provider. based in Jenison, Michigan. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials CRNA. They hold a License No. 124783 (MI). The NPI Number for REBECCA STIENSTRA (CRNA) is 1902370745

Main info

Female
8 Years Of Experience
Accepts Medicare Assignment
Name
REBECCA STIENSTRA (CRNA)
NPI
1902370745
Phone
(708) 302-3014
Address
1858 TULIP LN
Enumeration Date
15 January 2019
Last Update Date
25 January 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2692267000
Graduation Year
2018 (8 years ago)
PAC ID
8820335649
Group Practice PAC ID
3375449473
Professional Enrollment ID
I20190131002029
Address ID
MI490481640KA1521XRDXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience38
Completeness75
Years active:7State licenses:1Digital endpointsOther names

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

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Provider Addresses for REBECCA STIENSTRA (CRNA)

  • 1858, Tulip Lane, Jenison, Georgetown Township, Ottawa County, Michigan, 49428, United States

    JENISON, MI 494287739

    Phone: (708) 302-3014

    Type: Mailing

  • 3333, Evergreen Drive Northeast, Evergreen Lake Office Park, Grand Rapids Charter Township, Kent County, Michigan, 49525, United States

    GRAND RAPIDS, MI 495259493

    Phone: (616) 284-3132

    Fax: (616) 284-3133

    Type: Location

  • 3333 Evergreen Dr NE

    Grand Rapids, MI 495259493

    Phone: (616) 284-3132

    Fax: (616) 284-3133

    Type: Location

  • 100 Michigan St NE

    Grand Rapids, MI 495032560

    Phone: (616) 364-4200

    Fax: (616) 364-7347

    Type: Location

  • 8333 Felch St

    Zeeland, MI 494642608

    Phone: (616) 364-4200

    Fax: (616) 364-7347

    Type: Location

  • 5900 Byron Center Ave SW

    Wyoming, MI 495199606

    Phone: (616) 364-4200

    Fax: (616) 364-7347

    Type: Location

  • 555 LINN ST

    ALLEGAN, MI 490101524

    Phone: (708) 302-3014

    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: 2019-01-31

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
I20190131002029ICertified 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 49428)

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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: 3375449473View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)MI
Certified Registered Nurse Anesthetist (Crna)MI
Certified Registered Nurse Anesthetist (Crna)MI
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
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

Reviews

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Frequently asked questions

Is REBECCA STIENSTRA (CRNA) listed with a National Provider Identifier?
Yes — REBECCA STIENSTRA (CRNA) has NPI 1902370745 on file in the registry.
Is there an active status for REBECCA STIENSTRA (CRNA)?
For scheduling context, REBECCA STIENSTRA (CRNA) is shown as active in the registry.
What clinical focus is listed for REBECCA STIENSTRA (CRNA)?
At a glance, REBECCA STIENSTRA (CRNA) is tied to Certified Registered Nurse Anesthetist. Clinical services aligned with this taxonomy classification.
What locale is associated with REBECCA STIENSTRA (CRNA)?
Directory geography for REBECCA STIENSTRA (CRNA) centers on Jenison, Michigan.
What does 8 location(s) imply?
8 practice locations appear in the available data.

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