Mr Jacob Andrew Kingston, RN - Medicare Certified Registered Nurse Anesthetist (crna) in Plymouth, MN

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Mr Jacob Andrew Kingston, RN is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Plymouth, Minnesota. He graduated from nursing school in 2021 and has 4 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice University Anesthesia Providers Llc and his current practice location is 14700 28th Ave N Ste 20, Plymouth, Minnesota. You can reach out to his office (for appointments etc.) via phone at (763) 559-3779.

Mr Jacob Andrew Kingston is licensed to practice in Minnesota (license number 2630) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1366019796.

Contact Information

Mr Jacob Andrew Kingston, RN
14700 28th Ave N Ste 20,
Plymouth, MN 55447-4876
(763) 559-3779
Not Available

Map and Direction




Provider's Profile

Full NameMr Jacob Andrew Kingston
GenderMale
SpecialityCertified Registered Nurse Anesthetist (crna)
Experience4 Years
Location14700 28th Ave N Ste 20, Plymouth, Minnesota
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Mr Jacob Andrew Kingston graduated from nursing school in 2021
  NPI Data:
  • NPI Number: 1366019796
  • Provider Enumeration Date: 06/04/2021
  • Last Update Date: 05/30/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 1153719422
  • Enrollment ID: I20211020000060

Medical Identifiers

Medical identifiers for Mr Jacob Andrew Kingston such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1366019796NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367500000XNurse Anesthetist, Certified Registered 2630 (Minnesota)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Healtheast St John's HospitalMaplewood, MNHospital
Fairview Southdale HospitalEdina, MNHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
University Anesthesia Providers Llc7315986064314

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. Mr Jacob Andrew Kingston allows following entities to bill medicare on his behalf.
Entity NameMetropolitan Anesthesia Network Llp
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1558314427
PECOS PAC ID: 5698689123
Enrollment ID: O20031118000579
Entity NameAllina Health System
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1295272342
PECOS PAC ID: 4587573613
Enrollment ID: O20040319000460
Entity NameSouthdale Anesthesiologists Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1154381804
PECOS PAC ID: 6709842461
Enrollment ID: O20041203000743
Entity NameTria Orthopaedic Center Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1053483503
PECOS PAC ID: 3173570561
Enrollment ID: O20050407000604
Entity NameUniversity Anesthesia Providers Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1699711143
PECOS PAC ID: 7315986064
Enrollment ID: O20050502000881
Entity NameHennepin Healthcare System Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1033138136
PECOS PAC ID: 4789684861
Enrollment ID: O20070207000467
Entity NameAnesthesia Associates, Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1104176205
PECOS PAC ID: 4284879701
Enrollment ID: O20130403000426
Entity NameCertified Anesthesia Care Co
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1699736348
PECOS PAC ID: 9436439114
Enrollment ID: O20161215001488
Entity NameTwin Cities Anesthesia Associates Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1982125456
PECOS PAC ID: 9133491194
Enrollment ID: O20170825001436
Entity NameAllina Health System
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1457657249
PECOS PAC ID: 4587573613
Enrollment ID: O20221213001713
Entity NameTwin Anesthesia Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1265105332
PECOS PAC ID: 2163888793
Enrollment ID: O20240816002642

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. Mr Jacob Andrew Kingston 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
Mr Jacob Andrew Kingston, RN
Po Box 47159,
Plymouth, MN 55447-0159

Ph: (763) 559-3779		Mr Jacob Andrew Kingston, RN
14700 28th Ave N Ste 20,
Plymouth, MN 55447-4876

Ph: (763) 559-3779

Reviews and Comments


Nurse Anesthetist, Certified Registered Nurses in Plymouth, MN

Nickolas C Southwick, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 14700 28th Ave N Ste 20, Plymouth, MN 55447
Phone: 763-559-3779    Fax: 763-450-3986
Lorna Bechtel,
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 14700 28th Ave N Ste 20, Plymouth, MN 55447
Phone: 763-559-3379    Fax: 763-450-3986
Jayne Eberhardt, CRNA
Nurse Anesthetist - CR
Medicare: Not Enrolled in Medicare
Practice Location: 2855 Campus Dr, Plymouth, MN 55441
Phone: 763-577-7000    
Anna Spillers,
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 14700 28th Ave N Ste 20, Plymouth, MN 55447
Phone: 763-559-3779    Fax: 763-450-3986
Peter Lawrence Sedlacek, CRNA
Nurse Anesthetist - CR
Medicare: Not Enrolled in Medicare
Practice Location: 2855 Campus Dr, Plymouth, MN 55441
Phone: 763-577-7000    Fax: 763-577-7130
Kathryn Marie Huber, SRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 14700 28th Ave N Ste 20, Plymouth, MN 55447
Phone: 763-559-3779    Fax: 763-450-3986
Dillon Joseph Dryja, CRNA
Nurse Anesthetist - CR
Medicare: Medicare Enrolled
Practice Location: 14700 28th Ave N Ste 20, Plymouth, MN 55447
Phone: 763-852-0411    

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.