Holly Jeanette Jacek, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Little Rock, AR

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Holly Jeanette Jacek, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Little Rock, Arkansas. She graduated from nursing school in 2012 and has 12 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). She is a member of the group practice University Of Arkansas, Arkansas Anesthesia Associates Pllc and her current practice location is 4301 W Markham St # 515, Little Rock, Arkansas. You can reach out to her office (for appointments etc.) via phone at (501) 686-6114.

Holly Jeanette Jacek is licensed to practice in Arkansas (license number C02918) 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 1255605267.

Contact Information

Holly Jeanette Jacek, CRNA
4301 W Markham St # 515,
Little Rock, AR 72205-7101
(501) 686-6114
(501) 686-8139

Map and Direction




Provider's Profile

Full NameHolly Jeanette Jacek
GenderFemale
SpecialityCertified Registered Nurse Anesthetist (crna)
Experience12 Years
Location4301 W Markham St # 515, Little Rock, Arkansas
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Holly Jeanette Jacek graduated from nursing school in 2012
  NPI Data:
  • NPI Number: 1255605267
  • Provider Enumeration Date: 03/08/2012
  • Last Update Date: 05/30/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 2264696780
  • Enrollment ID: I20120614000038

Medical Identifiers

Medical identifiers for Holly Jeanette Jacek such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1255605267NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163W00000XRegistered Nurse R73609 (Arkansas)Secondary
367500000XNurse Anesthetist, Certified Registered C02918 (Arkansas)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Uams Medical CenterLittle rock, ARHospital
Saline Memorial HospitalBenton, ARHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
University Of Arkansas40825289551098
Arkansas Anesthesia Associates Pllc640602314251

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. Holly Jeanette Jacek allows following entities to bill medicare on her behalf.
Entity NameOrthoarkansas, Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1952336869
PECOS PAC ID: 1456256031
Enrollment ID: O20031205000490
Entity NameUniversity Of Arkansas For Medical Sciences
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1588654016
PECOS PAC ID: 4082528955
Enrollment ID: O20031219000706
Entity NameNurse Anesthetist Professionals Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1689661696
PECOS PAC ID: 5890680714
Enrollment ID: O20040219000324
Entity NameArkansas Health Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1508800962
PECOS PAC ID: 7911802079
Enrollment ID: O20040331000754
Entity NameSt Vincent Medical Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1134176480
PECOS PAC ID: 5698758803
Enrollment ID: O20040622000224
Entity NameArkansas Anesthesia Associates Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1497023360
PECOS PAC ID: 6406023142
Enrollment ID: O20120119000835
Entity NameGastro Anesthesia Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1366700890
PECOS PAC ID: 3577727700
Enrollment ID: O20120619000424
Entity NameSouthern Regional Anesthesiology Consultants Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1902231673
PECOS PAC ID: 2961633870
Enrollment ID: O20140318000757
Entity NameBp Anesthesia, Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1942736285
PECOS PAC ID: 8325319429
Enrollment ID: O20170808002928
Entity NamePremier Gastroenterology Associates Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1538663729
PECOS PAC ID: 1153685474
Enrollment ID: O20180514000249
Entity NameClinical Associates, Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1518265966
PECOS PAC ID: 8325217904
Enrollment ID: O20181221000427

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. Holly Jeanette Jacek 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
Holly Jeanette Jacek, CRNA
4301 W Markham St # 783,
Little Rock, AR 72205-7101

Ph: (501) 686-7000		Holly Jeanette Jacek, CRNA
4301 W Markham St # 515,
Little Rock, AR 72205-7101

Ph: (501) 686-6114

Reviews and Comments


Nurse Anesthetist, Certified Registered Nurses in Little Rock, AR

Benjamin Mizell, CRNA
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Phone: 501-202-2093    Fax: 501-202-6316
Dr. Ethan Taylor Lewis, DNP
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John W Woodell, CRNA
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Barbara C Lenarduzzi, CRNA
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Phone: 501-455-7100    
Brent Anthony Lea,
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 4301 W Markham St # 515, Little Rock, AR 72205
Phone: 501-686-6114    Fax: 501-686-8139
Anthony L Bridges, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 9601 Baptist Health Dr, Little Rock, AR 72205
Phone: 501-202-2093    Fax: 501-202-6316

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.