Individual provider Active NPI

Jenna Jakielaszek

  • Certified Registered Nurse Anesthetist
  • Berlin, WI
National Provider Identifier
1962148254
Registry record updated May 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
261386 Issued in WI
Practice address
225 Memorial Dr
Berlin, WI 54923-1243
Phone
(920) 361-1313
NPI assigned
May 9, 2022
Last updated
May 9, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 9, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 261386 WI Primary

Addresses

Primary practice location

225 Memorial Dr
Berlin, WI 54923-1243

Mailing address

112 Hillside Dr
Spring City, PA 19475-2610
Phone (610) 906-5311

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI, MD, DC, PA4 enrollments

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20220617002664 WI Practitioner - Certified Registered Nurse Anesthetist (Crna) 9739568957 Reassigns benefits to 1 organization
I20221021002702 MD Practitioner - Certified Registered Nurse Anesthetist (Crna) 9739568957 Reassigns benefits to 2 organizations
I20221025000664 DC Practitioner - Certified Registered Nurse Anesthetist (Crna) 9739568957 Reassigns benefits to 1 organization
I20250512002358 PA Practitioner - Certified Registered Nurse Anesthetist (Crna) 9739568957 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
United Anesthesia Services PCGroup PAC ID 3173437613, 437 clinicians
Northstar Anesthesia of Pennsylvania LLCGroup PAC ID 5092941161, 65 clinicians

Practice addresses (Care Compare)

130 S Bryn Mawr Ave
Bryn Mawr, PA 19010-3121
Phone (610) 526-3000

1500 Lansdowne Ave
Darby, PA 19023-1291
Phone (610) 237-4000

454 Enterprise Dr
Royersford, PA 19468-1200
Phone (610) 495-3330

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
261386WIMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
United Anesthesia Services PC Nurse Anesthetist, Certified Registered CurrentSince May 5, 2025 Accepting new patients
Northstar Anesthesia of Pennsylvania, LLC Nurse Anesthetist, Certified Registered CurrentSince Mar 7, 2025 Accepting new patients
Association of Hospital Anesthesiologists SC CurrentSince Jul 1, 2022 Accepting new patients
First Colonies Anesthesia Associates, LLC Nurse Anesthetist, Certified Registered CurrentSince Oct 12, 2022 Accepting new patients
Anesthesia Company, LLC Nurse Anesthetist, Certified Registered CurrentSince Jan 1, 2025 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

851 Trafalgar Ct
Ste 200E
Maitland, FL 32751
Phone (321) 422-7155

2001 Medical Pkwy
Annapolis, MD 21401
Phone (410) 280-5601

400 W 7th St
Frederick, MD 21701
Phone (240) 566-3300

70 Sherry Ln
Ste 101
Prnc Frederck, MD 20678
Phone (410) 889-2040

11210 Old Georgetown Rd
Rockville, MD 20852
Phone (301) 881-7770

11210 Old Georgetown Rd
#12202
Rockville, MD 20852
Phone (301) 881-7770

1500 Forest Glen Rd
Silver Spring, MD 20910
Phone (301) 754-7230

8322 Bellona Ave
Ste 201
Towson, MD 21204
Phone (410) 337-2688

1000 Dutch Ridge Rd
Beaver, PA 15009
Phone (724) 728-7000

130 S Bryn Mawr Ave
Bryn Mawr, PA 19010
Phone (484) 337-3000

1500 Lansdowne Ave
Darby, PA 19023
Phone (610) 237-4561

610 W Germantown Pike
Ste 150
Plymouth Meeting, PA 19462
Phone 6105254966 ext. 156

744 Lancaster Ave
Wayne, PA 19087
Phone (215) 244-7400

1818 N Meade St
Appleton, WI 54911
Phone (920) 731-4101

225 Memorial Dr
Berlin, WI 54923
Phone (920) 361-1313

130 2nd St
Neenah, WI 54956
Phone (920) 729-2063

Organizations & group practices 6

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1652054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652054400000",
    "number": "1962148254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 HILLSIDE DR",
            "city": "SPRING CITY",
            "state": "PA",
            "postal_code": "194752610",
            "telephone_number": "610-906-5311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 MEMORIAL DR",
            "city": "BERLIN",
            "state": "WI",
            "postal_code": "549231243",
            "telephone_number": "920-361-1313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAKIELASZEK",
        "first_name": "JENNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-05-09",
        "last_updated": "2022-05-09",
        "certification_date": "2022-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "WI",
            "license": "261386",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Berlin, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2022; 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.

Verify at the official NPI Registry.