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

Individual provider Certified Registered Nurse Anesthetist · NPI 1174060537

Jason Fennema, CRNA is a Certified Registered Nurse Anesthetist (CRNA) in Grand Rapids, Michigan. Qualified in 2016, 10 years ago. Practices with Saint Mary's Health Services, a 177-clinician group, works from 4 locations and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
10
Licensed in
MI
In the registry since
2017
What do these letters mean?
CRNA — Certified Registered Nurse Anesthetist
An advanced practice nurse who administers anaesthesia.

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Practice location Address checks out

200 Jefferson Ave SE
Grand Rapids, MI 49503-4502
Phone: (616) 391-1609
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (3)

  • 1309 Sheldon Rd, Grand Haven, MI 49417-2404 — (616) 842-3600
  • 550 W Western Ave Ste B, Muskegon, MI 49440-1503 — (231) 726-4498
  • 1500 E Sherman Blvd, Muskegon, MI 49444-1849 — (231) 672-2000

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence 4704279909 (MI)

Record details

NPI number1174060537
Entity typeIndividual (Type 1)
GenderMale
Credentials CRNA
Sole proprietorNo
NPI enumeratedJanuary 24, 2017
Last updated in NPPESJanuary 26, 2024
Certification dateJanuary 26, 2024

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Saint Mary'S Health Services — 177 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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