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

Individual provider Registered Nurse · NPI 1669979670

Jessica Fortin, CRNA is a Certified Registered Nurse Anesthetist (CRNA) in Ypsilanti, Michigan. Qualified in 2019, 7 years ago. Practices with Long Lake Anesthesiology Consultants PLC, a 92-clinician group and accepts Medicare assignment. Licensed in Massachusetts and Michigan.

Years since qualifying
7
Licensed in
MA, MI
In the registry since
2018
Specialties on file
2
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

5301 E Huron River Dr
Ypsilanti, MI 48197-1051
Phone: (734) 712-3456
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence 4704308220 (MI)
Registered Nurse Taxonomy 163W00000X · Licence RN2293762 (MA)

Record details

NPI number1669979670
Entity typeIndividual (Type 1)
GenderFemale
Credentials CRNA
Sole proprietorNo
NPI enumeratedApril 7, 2018
Last updated in NPPESOctober 2, 2019

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Long Lake Anesthesiology Consultants Plc — 92 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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