Dr Jaclyn Rose Guetzko, DNP, APRN, CNP - Medicare Nurse Practitioner in Bloomington, MN

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Dr Jaclyn Rose Guetzko, DNP, APRN, CNP is a medicare enrolled "Nurse Practitioner - Adult Health" in Bloomington, Minnesota. Her current practice location is 7920 Old Cedar Ave S, Bloomington, Minnesota. You can reach out to her office (for appointments etc.) via phone at (952) 428-1800.

Dr Jaclyn Rose Guetzko is licensed to practice in Minnesota (license number CNP3931) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1275914020.

Contact Information

Dr Jaclyn Rose Guetzko, DNP, APRN, CNP
7920 Old Cedar Ave S,
Bloomington, MN 55425-1207
(952) 428-1800
Not Available

Map and Direction




Provider's Profile

Full NameDr Jaclyn Rose Guetzko
GenderFemale
SpecialityNurse Practitioner - Adult Health
Location7920 Old Cedar Ave S, Bloomington, Minnesota
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1275914020
  • Provider Enumeration Date: 06/17/2015
  • Last Update Date: 11/10/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 6507179132
  • Enrollment ID: I20150724011528

Medical Identifiers

Medical identifiers for Dr Jaclyn Rose Guetzko such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1275914020NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LG0600XNurse Practitioner - Gerontology CNP3931 (Minnesota)Secondary
363LA2200XNurse Practitioner - Adult Health CNP3931 (Minnesota)Primary

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. Dr Jaclyn Rose Guetzko allows following entities to bill medicare on her behalf.
Entity NameAllina Health System
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1295272342
PECOS PAC ID: 4587573613
Enrollment ID: O20040319000460
Entity NameLifespark Medical Group Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1427551746
PECOS PAC ID: 4385908201
Enrollment ID: O20180501001022

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. Dr Jaclyn Rose Guetzko 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
Dr Jaclyn Rose Guetzko, DNP, APRN, CNP
2925 Chicago Ave,
Minneapolis, MN 55407-1321

Ph: (612) 262-5000		Dr Jaclyn Rose Guetzko, DNP, APRN, CNP
7920 Old Cedar Ave S,
Bloomington, MN 55425-1207

Ph: (952) 428-1800

Reviews and Comments


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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.