JANE M MCCLINTOCK (CRNA) – Certified Registered Nurse Anesthetist, NPI 1568464352

JANE M MCCLINTOCK (CRNA) is a healthcare provider. based in Blaine, Minnesota. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials CRNA. They hold a License No. R 123540-5 (MN). The NPI Number for JANE M MCCLINTOCK (CRNA) is 1568464352

Main info

Female
24 Years Of Experience
Accepts Medicare Assignment
Name
JANE M MCCLINTOCK (CRNA)
NPI
1568464352
Phone
(612) 272-4255
Address
12547 ZUMBROTA ST NE
Enumeration Date
11 August 2005
Last Update Date
19 December 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5072842511
Graduation Year
2002 (24 years ago)
PAC ID
7416053186
Group Practice PAC ID
6507778255
Professional Enrollment ID
I20070426000536
Address ID
MN559050001RO200XXSWXX400

Contacts

Secure Messaging
jmcclintock2391418@ehrdirect.mayoclinicmsg.org
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience68
Completeness85
Years active:20State licenses:2Other namesUpdated within 12 months

2,131 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in MN

Provider Addresses for JANE M MCCLINTOCK (CRNA)

  • 12547, Zumbrota Street Northeast, Blaine, Anoka County, Minnesota, 55449, United States

    BLAINE, MN 554496171

    Phone: (612) 272-4255

    Type: Mailing

  • 200 1ST ST SW

    ROCHESTER, MN 559050001

    Phone: (507) 284-2511

    Type: Location

  • 435, Phalen Boulevard, Saint Paul, Ramsey County, Minnesota, 55130, United States

    SAINT PAUL, MN 551305302

    Phone: (651) 254-8049

    Fax: (651) 254-8049

    Type: Location

  • 435 Phalen Blvd

    Saint Paul, MN 551305302

    Phone: (651) 254-8049

    Fax: (651) 254-8049

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2007-04-26

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20070426000536ICertified Registered Nurse Anesthetist (Crna)MNTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 55449)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6507778255View full group profile

Reviews

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Frequently asked questions

What NPI should I save for JANE M MCCLINTOCK (CRNA)?
Save NPI 1568464352 if you need a stable reference for JANE M MCCLINTOCK (CRNA).
Is JANE M MCCLINTOCK (CRNA) currently active in the NPI registry?
CMS-published data lists JANE M MCCLINTOCK (CRNA) as an active registrant.
Does JANE M MCCLINTOCK (CRNA) list a primary specialty?
If you are matching referrals, note Certified Registered Nurse Anesthetist for JANE M MCCLINTOCK (CRNA). Clinical services aligned with this taxonomy classification.
What location shows for JANE M MCCLINTOCK (CRNA)?
We surface Blaine, Minnesota for JANE M MCCLINTOCK (CRNA) based on available NPPES addresses.
How can I contact JANE M MCCLINTOCK (CRNA)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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