Doctor profile · Federal record

Dr. Jaclyn Fontaine, CRNA

Certified Registered Nurse Anesthetist (CMS: Certified Registered Nurse Anesthetist (CRNA)) · Royal Oak, MI

  • NPI 1215510805
  • 3 yrs in practice
  • Female
  • Solo practice
  • No sanctions

Practice & contact

NPPES Updated May 11, 2026
Primary practice
3601 W 13 Mile RD
Royal Oak, MI 480736712
(248) 898-5000
Mailing address
19231 Tree CT
Macomb, MI 480441427

Credentials & registration

NPPES · NUCC
NPI registered
April 2021 — 5 yrs on file
Profile last updated
March 12, 2024
Year of graduation
2023 — 3 yrs since
Specialty taxonomy
367500000X — NUCC code
State license (1)
Michigan #4704338036

Federal sanctions & exclusions

OIG LEIE Updated May 11, 2026

No sanctions, exclusions or revocations on file

Checked against OIG LEIE on NPI 1215510805. Last verified May 11, 2026.

Open Payments

Industry payments received

CMS Open Payments
All-time total
$126
Transactions
4
Manufacturers
2
Payer (manufacturer) Industry Txns Amount
Becton, Dickinson and Company 2 $91.19
Merck Sharp & Dohme LLC 2 $35.17

By nature of payment

Food and Beverage
$126

Frequently asked questions

Auto-generated from federal data
What is Dr. Jaclyn Fontaine's medical specialty?
Dr. Jaclyn Fontaine practices Certified Registered Nurse Anesthetist in Royal Oak, MI.
Where does Dr. Jaclyn Fontaine practice?
Dr. Jaclyn Fontaine practices at 3601 W 13 Mile RD, Royal Oak, MI 480736712. Office phone: 2488985000.
What is Dr. Jaclyn Fontaine's NPI?
Dr. Jaclyn Fontaine's National Provider Identifier (NPI) is 1215510805, issued by NPPES.
Does Dr. Jaclyn Fontaine accept Medicare assignment?
Dr. Jaclyn Fontaine does not accept Medicare assignment for all services. Patients may be billed amounts beyond Medicare-allowed charges.