Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Alexander Mervenne, CAA

Individual provider Anesthesiologist Assistant · NPI 1497447262

Alexander Mervenne, CAA is an Anesthesiology Assistant in Grand Rapids, Michigan. Qualified in 2023, 3 years ago. Practices with Porter County Anesthesia Associates PC, a 29-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
3
Licensed in
MI
In the registry since
2023
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Practice location Address checks out

100 Michigan St NE
Grand Rapids, MI 49503-2560
Phone: (616) 364-4200
Fax: (616) 364-7347
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Anesthesiologist Assistant (primary) Taxonomy 367H00000X · Licence 789789817 (MI)

Record details

NPI number1497447262
Entity typeIndividual (Type 1)
GenderMale
Credentials CAA
Sole proprietorYes
NPI enumeratedMay 22, 2023
Last updated in NPPESMay 22, 2023
Certification dateMay 22, 2023
Mailing address3333 Evergreen Dr Ne, Grand Rapids, MI 49525-9493

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyANESTHESIOLOGY ASSISTANT
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Porter County Anesthesia Associates Pc — 29 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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