Jenna Stark, - Medicare Nurse Anesthetist, Certified Registered in Minneapolis, MN

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Jenna Stark, is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Minneapolis, Minnesota. Her current practice location is 2450 Riverside Ave, Minneapolis, Minnesota. You can reach out to her office (for appointments etc.) via phone at (612) 365-1000.

Jenna Stark is licensed to practice in Minnesota (license number 1866) 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 1386009892.

Contact Information

Jenna Stark,
2450 Riverside Ave,
Minneapolis, MN 55454-1450
(612) 365-1000
Not Available

Map and Direction




Provider's Profile

Full NameJenna Stark
GenderFemale
SpecialityNurse Anesthetist, Certified Registered
Location2450 Riverside Ave, Minneapolis, Minnesota
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1386009892
  • Provider Enumeration Date: 12/28/2015
  • Last Update Date: 03/19/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 7416256151
  • Enrollment ID: I20160429001461

Medical Identifiers

Medical identifiers for Jenna Stark such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1386009892NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367500000XNurse Anesthetist, Certified Registered 1866 (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. Jenna Stark allows following entities to bill medicare on her behalf.
Entity NameFairview Health Services
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1013994359
PECOS PAC ID: 1951213057
Enrollment ID: O20031105000461
Entity NameSt Josephs Medical Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1568415974
PECOS PAC ID: 8224948443
Enrollment ID: O20031119000468
Entity NameHealtheast Medical Research Institute
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1639125503
PECOS PAC ID: 3971407636
Enrollment ID: O20031124000507
Entity NameHealtheast St Joseph's Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1134186273
PECOS PAC ID: 2365348869
Enrollment ID: O20031208000245
Entity NameCentral Minnesota Anesthesia Providers, Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1881689974
PECOS PAC ID: 7315848876
Enrollment ID: O20040116000877
Entity NameAnesthesiology, P.a.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1013960798
PECOS PAC ID: 9335033034
Enrollment ID: O20040212000459
Entity NameBrainerd Lakes Surgery Center L L C
Entity TypePart B Supplier - Ambulatory Surgical Center
Entity IdentifiersNPI Number: 1750378295
PECOS PAC ID: 5395782213
Enrollment ID: O20050412001404
Entity NameUniversity Anesthesia Providers Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI 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. Jenna Stark 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
Jenna Stark,
18032 70th Pl N,
Maple Grove, MN 55311-3032

Ph: (320) 309-4780		Jenna Stark,
2450 Riverside Ave,
Minneapolis, MN 55454-1450

Ph: (612) 365-1000

Reviews and Comments


Nurse Anesthetist, Certified Registered Nurses in Minneapolis, MN

Mrs. Angela Renae Mund, MS CRNA
Nurse Anesthetist - CR
Medicare: Medicare Enrolled
Practice Location: 1 Veterans Dr, Minneapolis, MN 55417
Phone: 612-467-3393    
Nancy S Hawley, CRNA
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Medicare: Accepting Medicare Assignments
Practice Location: 701 Park Ave, Minneapolis, MN 55415
Phone: 612-873-3152    Fax: 612-904-4218
Drew David Mathews, CRNA
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Medicare: Not Enrolled in Medicare
Practice Location: 800 E 28th St, Minneapolis, MN 55407
Phone: 612-871-7639    Fax: 612-872-0302
Joyce Sia Stewart, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 800 E 28th St, Minneapolis, MN 55407
Phone: 612-871-7639    Fax: 612-872-0302
Sara Jayne Armbruster, CRNA
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Medicare: Medicare Enrolled
Practice Location: 8170 33rd Avenue South, Ms 21110q, Minneapolis, MN 55440
Phone: 952-883-7172    Fax: 952-883-5395
Linh Tran Geist, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 800 E 28th St, Minneapolis, MN 55407
Phone: 612-871-7639    Fax: 612-872-0302
Asal Salehpoor Driscoll, CRNA
Nurse Anesthetist - CR
Medicare: Medicare Enrolled
Practice Location: 2525 Chicago Ave, Minneapolis, MN 55404
Phone: 612-813-6273    

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).

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