Jacklyn Holmberg, CRNA in Robbinsdale, MN - Medicare Certified Registered Nurse Anesthetist (crna)

Jacklyn Holmberg, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Robbinsdale, Minnesota. She graduated from nursing school in 2014 and has 11 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). She is a member of the group practice University Anesthesia Providers Llc, Anesthesiology, P.a. and her current practice location is 3300 Oakdale Ave N, Robbinsdale, Minnesota. You can reach out to her office (for appointments etc.) via phone at (763) 520-5200.

Jacklyn Holmberg is licensed to practice in Minnesota (license number 1690) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1316347602.

Contact Information

	Jacklyn Holmberg, CRNA
	3300 Oakdale Ave N, Robbinsdale, MN 55422-2926
	(763) 520-5200
	(763) 581-0993

Map and Direction

Provider's Profile

Full Name	Jacklyn Holmberg
Gender	Female
Speciality	Certified Registered Nurse Anesthetist (crna)
Experience	11 Years
Location	3300 Oakdale Ave N, Robbinsdale, Minnesota
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Jacklyn Holmberg graduated from nursing school in 2014

NPI Data:

NPI Number: 1316347602
Provider Enumeration Date: 08/25/2014
Last Update Date: 04/28/2023

Medicare PECOS Information:

PECOS PAC ID: 8628394012
Enrollment ID: I20150302001598

Medical Identifiers

Medical identifiers for Jacklyn Holmberg such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1316347602	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	R188489-8 (Minnesota)	Secondary
367500000X	Nurse Anesthetist, Certified Registered	1690 (Minnesota)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Healtheast St John's Hospital	Maplewood, MN	Hospital
North Memorial Health	Robbinsdale, MN	Hospital
University Of Minnesota Medical Center, Fairview	Minneapolis, MN	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
University Anesthesia Providers Llc	7315986064	314
Anesthesiology, P.a.	9335033034	120

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. Jacklyn Holmberg allows following entities to bill medicare on her behalf.

Entity Name	Anesthesiology, P.a.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1013960798 PECOS PAC ID: 9335033034 Enrollment ID: O20040212000459

Entity Name	University Anesthesia Providers Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1699711143 PECOS PAC ID: 7315986064 Enrollment ID: O20050502000881

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. Jacklyn Holmberg 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 Address	Practice Location Address
Jacklyn Holmberg, CRNA 3300 Oakdale Ave N, Robbinsdale, MN 55422-2926 Ph: (763) 520-5200	Jacklyn Holmberg, CRNA 3300 Oakdale Ave N, Robbinsdale, MN 55422-2926 Ph: (763) 520-5200

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Robbinsdale, MN

Tana Isaacson, Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 3300 Oakdale Ave N, Robbinsdale, MN 55422 Phone: 763-520-1926
Dana Lee Chippendale, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3300 Oakdale Ave N, Robbinsdale, MN 55422 Phone: 763-520-5200
Jonghwa Park, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3300 Oakdale Ave N, Robbinsdale, MN 55422 Phone: 763-581-3980 Fax: 763-581-3591
Katherine Piehl, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3300 Oakdale Ave N, Robbinsdale, MN 55422 Phone: 763-520-5200 Fax: 763-257-8356
Carolyn Olson, Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 3300 Oakdale Ave N, Robbinsdale, MN 55422 Phone: 763-520-1926
Jeffrey Middendorf, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3300 Oakdale Ave N, Robbinsdale, MN 55422 Phone: 763-520-1926
Brian Geniesse, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3300 Oakdale Ave N, Robbinsdale, MN 55422 Phone: 763-520-5200

Jacklyn Holmberg, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Robbinsdale, MN