Active NPI
Jacqueline Marie Klinkner, CRNA
- Certified Registered Nurse Anesthetist
- Edina, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 23802
- Practice address
- 6401 France Ave S
Edina, MN 55435-2104 - Phone
- (952) 924-5000
- NPI assigned
- Oct 20, 2017
- Last updated
- Dec 13, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 23802 | TN | Primary |
| Registered Nurse | 163W00000X | 225115 | TN |
Addresses
Primary practice location
6401 France Ave S
Edina, MN 55435-2104
Mailing address
6401 France Ave S
Edina, MN 55435-2104
Phone (952) 924-5000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
6099 Wayzata Blvd
Suite 300
St Louis Park, MN 55416-5538
Phone (612) 832-9360
6401 France Ave S
Edina, MN 55435-2104
Phone (952) 924-5000
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 225115 | TN | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southdale Anesthesiologists, LLC | Current | Accepting new patients | |
| St. Francis Regional Medical Center | Current | Accepting new patients | |
| Metropolitan Anesthesia Network, LLP | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| South Metropolitan Anesthesia, PA | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| University Anesthesia Providers, LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Certified Anesthesia Care, Co. | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| St Francis Regional Medical Center | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Central Minnesota Anesthesia Providers, PA | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
Locations
14054 Bank St
Becker, MN 55308
Phone (763) 260-8808
9801 DuPont Ave S
Ste 100
Bloomington, MN 55431
201 E Nicollet Blvd
Burnsville, MN 55337
Phone (952) 892-2000
2215 Park Ave
Minneapolis, MN 55404
Phone (612) 775-8800
2450 Riverside Ave
Minneapolis, MN 55454
Phone (612) 273-7838
4050 Coon Rapids Blvd NW
Minneapolis, MN 55433
Phone (763) 236-6786
500 Harvard St SE
Minneapolis, MN 55455
Phone (612) 273-7300
6401 France Ave S
Minneapolis, MN 55435
Phone (952) 920-8477
7400 France Ave S
Ste 100
Minneapolis, MN 55435
Phone (612) 597-6316
14700 28th Ave N
Ste 20
Plymouth, MN 55447
Phone (612) 559-3779
911 Northland Dr
Princeton, MN 55371
Phone (763) 389-1313
1455 Saint Francis Ave
Shakopee, MN 55379
Phone (952) 403-2200
6099 Wayzata Blvd
Ste 300
St Louis Park, MN 55416
Phone (612) 832-9360
400 10th St E
Waconia, MN 55387
Interoperability endpoints
- jacqueline.klinkner.p21@direct.painphysicians.nextgenshare.com
Organizations & group practices 8
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Anesthesiology Physician
- Plymouth, MN
- NPI 1558314427
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Edina, MN
- NPI 1154381804
-
- Certified Registered Nurse Anesthetist
- Becker, MN
- NPI 1881689974
Nurse Anesthetist, Certified Registered
-
dba Certified Anesthesia Care, Inc
- Certified Registered Nurse Anesthetist
- Stillwater, MN
- NPI 1699736348
Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Burnsville, MN
- NPI 1649265737
Nurse Anesthetist, Certified Registered
-
dba St. Francis Urgent Care - Southbridge
- Urgent Care Clinic/Center
- Shakopee, MN
- NPI 1447605514
-
- Anesthesiology Physician
- Minneapolis, MN
- NPI 1699711143
Nurse Anesthetist, Certified Registered
-
dba St Francis Regional Medical Center CRNA
- Certified Registered Nurse Anesthetist
- Shakopee, MN
- NPI 1750325965
Nurse Anesthetist, Certified Registered
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1508457600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1544659200000",
"number": "1659882322",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6401 FRANCE AVE S",
"city": "EDINA",
"state": "MN",
"postal_code": "554352104",
"telephone_number": "952-924-5000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6401 FRANCE AVE S",
"city": "EDINA",
"state": "MN",
"postal_code": "554352104",
"telephone_number": "952-924-5000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KLINKNER",
"first_name": "JACQUELINE",
"middle_name": "MARIE",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-10-20",
"last_updated": "2018-12-13",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "TN",
"license": "23802",
"primary": true
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "TN",
"license": "225115",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Edina, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.