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

Individual provider Certified Registered Nurse Anesthetist · NPI 1760925713

Jordan Sullenberger is a Certified Registered Nurse Anesthetist (CRNA) in Kalamazoo, Michigan. Qualified in 2016, 10 years ago. Practices with Kalamazoo Anesthesiology P C, a 134-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
10
Licensed in
MI
In the registry since
2016
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Practice location Address checks out

900 Peeler St
Kalamazoo, MI 49008-2300
Phone: (269) 345-8618
Fax: (269) 345-1508
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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 4704292266 (MI)

Record details

NPI number1760925713
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedNovember 23, 2016
Last updated in NPPESJanuary 12, 2017
Mailing address900 Peeler St, Kalamazoo, MI 49008-2300

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 Kalamazoo Anesthesiology P C — 134 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Kalamazoo