JACLYN M ENGSTROM (CRNA) – Certified Registered Nurse Anesthetist, NPI 1770143638
Certified Registered Nurse Anesthetist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
804 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in CO
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Provider Addresses for JACLYN M ENGSTROM (CRNA)
2009, Clearwater Drive, Clearwater Farm, Onalaska, Town of Onalaska, La Crosse County, Wisconsin, 54650, United States
ONALASKA, WI 546507200
Phone: (303) 818-4896
Type: Mailing
East Maplewood Avenue, Greenwood Village, Arapahoe County, Colorado, United States
GREENWOOD VILLAGE, CO 801114727
Phone: (303) 785-4700
Fax: (303) 336-8350
Type: Location
PO BOX 840862
DALLAS, TX 752840862
Phone: (303) 377-7638
Fax: (303) 780-0787
Type: Mailing
8000 E MAPLEWOOD AVE STE 120
GREENWOOD VILLAGE, CO 801114766
Phone: (303) 438-3999
Fax: (720) 439-9500
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: 2020-01-16
PECOS data refreshed: 2026-06-15
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20200116002297 | I | Certified Registered Nurse Anesthetist (Crna) | CO | TBD |
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.
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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 01402 | Anesthesia for procedure for total knee joint replacement | 25 | 25 | $0 |
| 01810 | Anesthesia for procedure on nerves, muscles, tendons, and tissue of forearm, wrist, and hand | 14 | 14 | $0 |
| 01214 | Anesthesia for total hip replacement | 12 | 12 | $0 |
Insurance plans in this area (ZIP 54650)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | CO | |
| - | CO | |
| Hospitalist, General Practice, Family Practice | CO | |
| Cardiovascular Disease (Cardiology) | NM | |
| Family Practice | OK | |
| Internal Medicine | CO | |
| - | IL | |
| - | CO | |
| Internal Medicine, Hospitalist, Internal Medicine | NM | |
| Physician Assistant | CO |
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