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

Matthew Michael Jacque

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1730710393

Matthew Michael Jacque is a Certified Registered Nurse Anesthetist (CRNA) in Flint, Michigan. Qualified in 2022, 4 years ago. Practices with Hurley Medical Center, a 336-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
4
Licensed in
MI
In the registry since
2020
Specialties on file
2
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

303 E Kearsley St
Flint, MI 48502-1907
Phone: (810) 762-3000
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence 4704295616 (MI)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1730710393
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJanuary 31, 2020
Last updated in NPPESOctober 4, 2022
Certification dateOctober 4, 2022
Mailing address5525 Millington Rd, Millington, MI 48746-9538

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 Hurley Medical Center — 336 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Flint