Jillian Mouranie Champine, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Ann Arbor, MI

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Jillian Mouranie Champine, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Ann Arbor, Michigan. She graduated from nursing school in 2012 and has 13 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). She is a member of the group practice Miycrnas Llc, Northstar Anesthesia Of Michigan Iii Pllc and her current practice location is 2006 Hogback Rd Ste 5a, Ann Arbor, Michigan. You can reach out to her office (for appointments etc.) via phone at (734) 263-2417.

Jillian Mouranie Champine is licensed to practice in Michigan (license number 4704266732) and she also participates in the medicare program. She may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1326387143.

Contact Information

Jillian Mouranie Champine, CRNA
2006 Hogback Rd Ste 5a,
Ann Arbor, MI 48105-9750
(734) 263-2417
Not Available

Map and Direction




Provider's Profile

Full NameJillian Mouranie Champine
GenderFemale
SpecialityCertified Registered Nurse Anesthetist (crna)
Experience13 Years
Location2006 Hogback Rd Ste 5a, Ann Arbor, Michigan
Accepts Medicare AssignmentsMay be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Jillian Mouranie Champine graduated from nursing school in 2012
  NPI Data:
  • NPI Number: 1326387143
  • Provider Enumeration Date: 02/14/2013
  • Last Update Date: 01/14/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 3476798414
  • Enrollment ID: I20130322000441

Medical Identifiers

Medical identifiers for Jillian Mouranie Champine such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1326387143NPI-NPPES
430F364420OtherMIBCBSM

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367500000XNurse Anesthetist, Certified Registered 4704266732 (Michigan)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Beaumont Hospital Royal OakRoyal oak, MIHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Miycrnas Llc49810132573
Northstar Anesthesia Of Michigan Iii Pllc7911325469522

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Jillian Mouranie Champine allows following entities to bill medicare on her behalf.
Entity NameWilliam Beaumont Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1811044878
PECOS PAC ID: 9335051093
Enrollment ID: O20040312000217
Entity NameJawad A Shah, Md Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1942402391
PECOS PAC ID: 5799779633
Enrollment ID: O20040413000798
Entity NameAnesthesia Associates Of Ann Arbor Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1669581997
PECOS PAC ID: 1355317223
Enrollment ID: O20040902000916
Entity NameAlliance Anesthesia Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1063880052
PECOS PAC ID: 0143538769
Enrollment ID: O20151001001050
Entity NameRadius Anesthesia Of Michigan Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1578002523
PECOS PAC ID: 0547545709
Enrollment ID: O20170330001527
Entity NameNorthstar Anesthesia Of Michigan Iii Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1972126209
PECOS PAC ID: 7911325469
Enrollment ID: O20200915001990
Entity NameMiycrnas Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1255915757
PECOS PAC ID: 4981013257
Enrollment ID: O20210518000629

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. Jillian Mouranie Champine is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Jillian Mouranie Champine, CRNA
130 Town Center Dr Ste 203, Beaumont Physician Partners Payor Enrollment,
Troy, MI 48084-1744

Ph: () -		Jillian Mouranie Champine, CRNA
2006 Hogback Rd Ste 5a,
Ann Arbor, MI 48105-9750

Ph: (734) 263-2417

Reviews and Comments


Nurse Anesthetist, Certified Registered Nurses in Ann Arbor, MI

Denise Lynn Berry, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 1500 E Medical Center Dr, Ann Arbor, MI 48109
Phone: 734-936-4000    
Ashley Marie Dibardino, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 1500 E Medical Center Dr, Ann Arbor, MI 48109
Phone: 734-936-4000    
Terrance Solan, CRNA
Nurse Anesthetist - CR
Medicare: Not Enrolled in Medicare
Practice Location: 1500 E Medical Center Dr, Ann Arbor, MI 48109
Phone: 734-936-4000    
Paula K Globerson, CRNA
Nurse Anesthetist - CR
Medicare: Not Enrolled in Medicare
Practice Location: 1500 East Medical Center Dr, Ann Arbor, MI 48109
Phone: 734-936-4280    
Lawrence R Stump, CRNA
Nurse Anesthetist - CR
Medicare: Not Enrolled in Medicare
Practice Location: 1500 E Medical Center Dr, Ann Arbor, MI 48109
Phone: 734-936-4280    
Mary Catherine Downey, CRNA
Nurse Anesthetist - CR
Medicare: Medicare Enrolled
Practice Location: 1500 E Medical Center Dr, Ann Arbor, MI 48109
Phone: 734-936-4000    
Renee Ann Shea, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 1500 E Medical Center Drive, 1h247 University Hospital, Ann Arbor, MI 48109
Phone: 734-936-4280    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.