Jackie L Collins, CNP - Medicare Nurse Practitioner in Waconia, MN

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Jackie L Collins, CNP is a medicare enrolled "Nurse Practitioner - Family" in Waconia, Minnesota. Her current practice location is 875 E Main St, Waconia, Minnesota. You can reach out to her office (for appointments etc.) via phone at (866) 389-2727.

Jackie L Collins is licensed to practice in Minnesota (license number R128366-4) 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 1023086568.

Contact Information

Jackie L Collins, CNP
875 E Main St,
Waconia, MN 55387-1081
(866) 389-2727
Not Available

Map and Direction




Provider's Profile

Full NameJackie L Collins
GenderFemale
SpecialityNurse Practitioner - Family
Location875 E Main St, Waconia, Minnesota
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1023086568
  • Provider Enumeration Date: 03/10/2006
  • Last Update Date: 07/08/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 5991833949
  • Enrollment ID: I20100512000344

Medical Identifiers

Medical identifiers for Jackie L Collins such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1023086568NPI-NPPES
0105787OtherMNMEDICA
1241627OtherMNAMERICA'S PPO
404934900MedicaidMD
151404OtherMNUCARE MN
41184100MedicaidWI
67B81COOtherMNBLUE CROSS BLUE SHIELD MN
737611100MedicaidMN
HP32641OtherMNHEALTHPARTNERS
1032598OtherMNPREFERREDONE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family R128366-4 (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. Jackie L Collins allows following entities to bill medicare on her behalf.
Entity NameMinnesota Oncology Hematology PA
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1528035995
PECOS PAC ID: 6709799752
Enrollment ID: O20031106000626
Entity NameMinuteclinic Diagnostic of Minnesota PA
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1407227945
PECOS PAC ID: 7810289949
Enrollment ID: O20160712000184
Entity NameCarris Health LLC
Entity TypePart B Supplier - Hospital Department(s)
Entity IdentifiersNPI Number: 1134632680
PECOS PAC ID: 7012274228
Enrollment ID: O20180111000831

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. Jackie L Collins 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
Jackie L Collins, CNP
6725 York Ave S Apt 457,
Edina, MN 55435-3232

Ph: (952) 221-0950		Jackie L Collins, CNP
875 E Main St,
Waconia, MN 55387-1081

Ph: (866) 389-2727

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.