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

Mark Leroy Vanderweide, CRNA

Individual provider Certified Registered Nurse Anesthetist · NPI 1225758824

Mark Leroy Vanderweide, CRNA is a Certified Registered Nurse Anesthetist (CRNA) in Charlevoix, Michigan. Qualified in 2022, 4 years ago. Practices with Munson Healthcare Charlevoix Hospital, a 54-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
4
Licensed in
MI
In the registry since
2022
What do these letters mean?
CRNA — Certified Registered Nurse Anesthetist
An advanced practice nurse who administers anaesthesia.

See every abbreviation used in this directory →

Practice location Address checks out

14700 Lake Shore Dr
Charlevoix, MI 49720-1999
Phone: (231) 547-4024
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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 4704293836 (MI)

Record details

NPI number1225758824
Entity typeIndividual (Type 1)
GenderMale
Credentials CRNA
Sole proprietorNo
NPI enumeratedSeptember 1, 2022
Last updated in NPPESOctober 12, 2022
Certification dateOctober 12, 2022
Mailing address854 Dorroll St Ne, Grand Rapids, MI 49505-4209

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Munson Healthcare Charlevoix Hospital — 54 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Charlevoix