Active NPI
Jacqueline C. Arnett, CRNA
- Certified Registered Nurse Anesthetist
- Robbinsdale, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 1026481
- Practice address
- 3300 Oakdale Ave N
Robbinsdale, MN 55422 - Phone
- (763) 581-3980
- Fax
- (763) 581-3591
- NPI assigned
- Nov 17, 2005
- Sex
- Female
- Sole proprietor
- Yes
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 | R071891 | GA | |
| Certified Registered Nurse Anesthetist | 367500000X | 1026481 | MN | Primary |
Addresses
Primary practice location
3300 Oakdale Ave N
Robbinsdale, MN 55422
Mailing address
3300 Oakdale Ave N
Robbinsdale, MN 55422-2926
Phone (763) 581-3980
Other practice location 1
405 Arrowhead Blvd
Jonesboro, GA 30236-1254
Phone (770) 472-7731
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00559688A | Medicaid | GA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA, MN, VI
Enrollment records 3
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110322000399 | GA | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 2860542792 | Reassigns benefits to 9 organizations |
| I20181214001149 | MN | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 2860542792 | Reassigns benefits to 1 organization |
| I20240628002571 | VI | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 2860542792 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 1988
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Gi Anesthesia of Georgia LLCAt Your Service Anesthesia and Therapeutics LLC
Practice addresses (Care Compare)
1269 Wellbrook Cir NE
Conyers, GA 30012-3873
Phone (770) 922-0505
1785 E Park Place Blvd
Suite 212
Stone Mountain, GA 30087-3458
Phone (770) 395-6076
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1886 | MN | MD | Marriage & Family Therapist |
| R071891 | GA | MD | Certified Registered Nurse Anesthetist |
| 1026481 | MN | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Derrick D. Jones P C | Current | Accepting new patients | |
| Anesthesia Dynamics LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Metropolitan Anesthesia Network, LLP | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Rockdale Anesthesia Services, P.C. | Current | Accepting new patients | |
| At Your Service Anesthesia and Therapeutics, LLC | Current | Accepting new patients | |
| Piedmont Anesthesia LLC | Current | Accepting new patients | |
| Anesthesia Consultants of Savannah, PC | Current | Accepting new patients | |
| Gi Anesthesia of Georgia LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Grady Memorial Hospital Corporation | Current | Accepting new patients | |
| Capitol Anesthesiology, PC | Current | Accepting new patients | |
| Grady Memorial Hospital Corporation | Current | Accepting new patients | |
| Coastal Ambulatory Anesthesia LLC | Current | Accepting new patients |
Locations
7956 Vaughn Rd
Ste 165
Montgomery, AL 36116
340 N Milledge Ave
Ste A
Athens, GA 30601
Phone (706) 548-0008
80 Jesse Hill Jr Dr SE
Atlanta, GA 30303
Phone (404) 616-4370
1269 Wellbrook Cir NE
Conyers, GA 30012
Phone (770) 922-0505
1380 Milstead Ave NE
Ste G
Conyers, GA 30012
Phone (770) 388-7745
1412 Milstead Ave NE
Conyers, GA 30012
Phone (770) 918-3000
1612 Milstead Rd NE
#B
Conyers, GA 30012
Phone (770) 388-7745
7229 Wheat St NE
Covington, GA 30014
Phone (678) 625-5132
2675 N Decatur Rd
Ste 506
Decatur, GA 30033
Phone (404) 299-1679
1336 Highway 54 W
Bldg 400
Fayetteville, GA 30214
Phone (770) 461-1238
1955 Textile Way
Gainesville, GA 30501
Phone (678) 987-1499
4865 Bill Gardner Pkwy
Locust Grove, GA 30248
Phone (770) 692-0100
156 Foster Dr
Ste A
McDonough, GA 30253
Phone (404) 932-0295
156 Foster Dr
Spc C
McDonough, GA 30253
1000 Corporate Center Dr
Ste 180
Morrow, GA 30260
Phone (770) 968-8888
6555 Professional Pl
Ste B
Riverdale, GA 30274
Phone (770) 692-0100
4700 Waters Ave
Savannah, GA 31404
Phone (912) 273-1100
1139 Lexington Ave
Savannah, GA 31404
Phone (912) 303-4200
180 N Park Trl
#200
Stockbridge, GA 30281
Phone (678) 565-1806
1133 Eagles Landing Pkwy
Stockbridge, GA 30281
Phone (678) 604-1000
1785 E Park Place Blvd
Ste 212
Stone Mtn, GA 30087
Phone (470) 395-6076
4050 Coon Rapids Blvd NW
Minneapolis, MN 55433
Phone (763) 236-6786
14700 28th Ave N
Ste 20
Plymouth, MN 55447
Phone (612) 559-3779
333 Smith Ave N
Saint Paul, MN 55102
Phone (651) 220-8256
9003 Havensight Shopp Ctr
Ste 307
St Thomas, VI 00802
Phone (877) 464-9046
Organizations & group practices 12
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Anesthesiology Physician
- Stone Mountain, GA
- NPI 1689327322
GA
-
- Certified Registered Nurse Anesthetist
- Gainesville, GA
- NPI 1326569187
GA, Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Plymouth, MN
- NPI 1558314427
MN, Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Bradenton, FL
- NPI 1073001012
GA, Nurse Anesthetist, Certified Registered
-
- Rehabilitation Hospital
- Atlanta, GA
- NPI 1336961119
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132185600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1540857600000",
"number": "1811979503",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3300 OAKDALE AVE N",
"city": "ROBBINSDALE",
"state": "MN",
"postal_code": "554222926",
"telephone_number": "763-581-3980",
"fax_number": "763-581-3591"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3300 OAKDALE AVE N",
"city": "ROBBINSDALE",
"state": "MN",
"postal_code": "55422",
"telephone_number": "763-581-3980",
"fax_number": "763-581-3591"
}
],
"practiceLocations": [
{
"address_1": "405 Arrowhead Blvd",
"address_purpose": "LOCATION",
"city": "Jonesboro",
"state": "GA",
"postal_code": "302361254",
"country_code": "US",
"telephone_number": "770-472-7731",
"fax_number": "770-478-2908",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ARNETT",
"first_name": "JACQUELINE",
"middle_name": "C.",
"credential": "CRNA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-11-17",
"last_updated": "2018-10-30",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "GA",
"license": "R071891",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "MN",
"license": "1026481",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00559688A",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Robbinsdale, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 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.