Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jacklyn Holmberg, CRNA

Individual provider Registered Nurse · NPI 1316347602

Jacklyn Holmberg, CRNA is a Certified Registered Nurse Anesthetist (CRNA) in Robbinsdale, Minnesota. Qualified in 2014, 12 years ago. Practices with University Anesthesia Providers LLC, a 332-clinician group and accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
12
Licensed in
MN
In the registry since
2014
Specialties on file
2
What do these letters mean?
CRNA — Certified Registered Nurse Anesthetist
An advanced practice nurse who administers anaesthesia.

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Practice location Address checks out

3300 Oakdale Ave N
Robbinsdale, MN 55422-2926
Phone: (763) 520-5200
Fax: (763) 581-0993
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence 1690 (MN)
Registered Nurse Taxonomy 163W00000X · Licence R188489-8 (MN)

Record details

NPI number1316347602
Entity typeIndividual (Type 1)
GenderFemale
Credentials CRNA
Sole proprietorNo
NPI enumeratedAugust 25, 2014
Last updated in NPPESApril 28, 2023
Certification dateApril 28, 2023
Mailing address3300 Oakdale Ave N, Robbinsdale, MN 55422-2926

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice University Anesthesia Providers Llc — 332 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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