Jennifer Nicole Dykstra, CRNA is a
Nurse Anesthetist, Certified Registered based in Wyoming, Michigan. Jennifer Nicole Dykstra is licensed to practice in Michigan (license number 4704313937) and her current practice location is
2635 Taft Ave Sw, Wyoming, Michigan. She can be reached at her office (for appointments etc.) via phone at
(269) 290-5521.
NPI number for Jennifer Nicole Dykstra is 1760174999 and her current mailing address is 2635 Taft Ave Sw, Wyoming, Michigan. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1760174999.
Provider's Profile
| Full Name | Jennifer Nicole Dykstra |
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| Gender | Female |
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| Speciality | Nurse Anesthetist, Certified Registered |
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| Location | 2635 Taft Ave Sw, Wyoming, Michigan |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1760174999
- Provider Enumeration Date: 05/25/2023
- Last Update Date: 09/15/2025
Medical Identifiers
Medical identifiers for Jennifer Nicole Dykstra such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1760174999 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 163W00000X | Registered Nurse | 4704313937 (Michigan) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | 4704313937 (Michigan) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jennifer Nicole Dykstra is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Jennifer Nicole Dykstra, CRNA 2635 Taft Ave Sw, Wyoming, MI 49519-2357 Ph: (269) 290-5521 | Jennifer Nicole Dykstra, CRNA 2635 Taft Ave Sw, Wyoming, MI 49519-2357 Ph: (269) 290-5521 |
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