Doctor profile · Federal record
Dr. Teresa Fatum, CRNA
Certified Registered Nurse Anesthetist (CMS: Certified Registered Nurse Anesthetist (CRNA)) · Grand Rapids, MI
- NPI 1255444931
- Accepts Medicare
- 32 yrs in practice
- Female
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
3333 Evergreen Dr Ne
Grand Rapids, MI 495259756
(616) 364-4200
fax (616) 364-7347
Credentials & registration
- NPI registered
- August 2006 — 20 yrs on file
- Profile last updated
- July 3, 2014
- Year of graduation
- 1994 — 32 yrs since
- Specialty taxonomy
- 367500000X — NUCC code
- State license (1)
- Michigan #4704170665
- Medicaid
- MI #4299281
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1255444931. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
12
Distinct HCPCS
1
Medicare allowed
$1,185
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
00812 |
Anesthesia for exam of colon using an endoscope | 12 | 12 | $99 |
In context: peer comparison
Among 22 peers in Grand Rapids Certified Registered Nurse Anesthetist, average services per provider: 20. This provider delivers 0.6× the peer median.Frequently asked questions
What is Dr. Teresa Fatum's medical specialty?
Dr. Teresa Fatum practices Certified Registered Nurse Anesthetist in Grand Rapids, MI.
Where does Dr. Teresa Fatum practice?
Dr. Teresa Fatum practices at 3333 Evergreen Dr Ne, Grand Rapids, MI 495259756. Office phone: 6163644200.
What is Dr. Teresa Fatum's NPI?
Dr. Teresa Fatum's National Provider Identifier (NPI) is 1255444931, issued by NPPES.
Does Dr. Teresa Fatum accept Medicare assignment?
Yes. Dr. Teresa Fatum accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Teresa Fatum commonly perform?
Top Medicare-reported procedures in 2023: Anesthesia for exam of colon using an endoscope (HCPCS 00812). Source: CMS Medicare Physician & Other Practitioners file.