Jaclyn Marie Fontaine, CRNA
NPI 1215510805ActiveIndividual· Nurse Anesthetist, Certified Registered· Royal Oak, MI
Nurse Anesthetist, Certified Registered (CRNA) with Northstar Anesthesia of Michigan III PLLC, practicing in Royal Oak, Michigan. Medicare paid $11,013 for services to 81 patients in 2024. Fisher & Paykel Healthcare Inc was the largest of 3 companies reporting payments in 2025, $255.10 in all, mostly food and beverage. Lists Beaumont Hospital Royal Oak as a hospital affiliation.
Overview
| NPI | 1215510805 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | CRNA |
| Sole proprietor | Yes |
| NPI issued | Apr 30, 2021 |
| Last updated in NPPES | Mar 12, 2024 |
| Certified by provider | Mar 12, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Anesthetist, Certified Registered Primary | 367500000X | 4704338036 | MI |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Certified Registered Nurse Anesthetist (CRNA) (MI) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 81 |
|---|---|
| Services billed | 81 across 37 procedure codes |
| Paid by Medicare | $11,013 |
Education and affiliations
| Graduation year | 2023 |
|---|---|
| Medicare specialty | Certified Registered Nurse Anesthetist (Crna) |
Medical group
- Northstar Anesthesia of Michigan III PLLCDearborn, MI · 561 clinicians
Hospital affiliation
- Beaumont Hospital Royal OakRoyal Oak, MI
Industry payments (Open Payments)
- 2025$255.10 · 6 payments from 3 companies
- 2024$126.36 · 4 payments from 2 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Fisher & Paykel Healthcare Inc | $184.32 | 3 |
| Merck Sharp & Dohme LLC | $40.15 | 2 |
| Grifols USA, LLC | $30.63 | 1 |
What the 2025 payments were for
- Food and Beverage$255.10 · 6 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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