JACKIE L COLLINS CNP
NPI 1023086568
Nurse Practitioner - Family in Waconia, MN
About Jackie L Collins Cnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JACKIE L COLLINS CNP (NPI 1023086568) is an individual family provider in Waconia, Minnesota, licensed in Minnesota (R128366-4) and active in the NPI registry since March 2006. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 9
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Jackie L Collins Cnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
5Medicare enrollment records show Jackie Collins reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Waconia, MN 55387
- Reassigned Medicare billing, Minnesota enrollment
- 128 clinicians in this Medicare group
Eagan, MN 55122
- Reassigned Medicare billing, Minnesota enrollment
- Medicare enrollment name: Minuteclinic Diagnostic Of Minnesota PA
- 89 clinicians in this Medicare group
Willmar, MN 56201
- Reassigned Medicare billing, Minnesota enrollment
- 179 clinicians in this Medicare group
Dallas, TX 75244
- Reassigned Medicare billing, Minnesota enrollment
- 166 clinicians in this Medicare group
Bohemia, NY 11716
- Reassigned Medicare billing, New York enrollment
- 754 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 6
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 55387 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 10
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Jackie Collins's NPI number?
The NPI number for Jackie Collins is 1023086568. It was assigned to this individual provider in the NPPES registry on March 10, 2006.
Where is Jackie Collins located?
Jackie Collins practices at 875 E Main St, Waconia, MN 55387. The listed phone number is (866) 389-2727.
What is Jackie Collins's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Jackie Collins enrolled in Medicare?
Yes. Jackie Collins is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Jackie Collins's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jackie Collins reassigns Medicare benefits to 5 organizations: Minnesota Oncology Hematology, PA (Waconia, MN), Minuteclinic Diagnostic Of Minnesota, P.A. (Eagan, MN), Carris Health LLC (Willmar, MN), Signify Health Medical Associates, PLLC (Dallas, TX) and Brookview Medical Associates, PLLC (Bohemia, NY). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jackie Collins's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Jackie Collins was last updated on July 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Jackie L Collins, CNP · NPI 1023086568
Family physician in Waconia, Minnesota. Individual provider, active in the CMS NPPES registry since March 10, 2006.
## Identity
- **NPI:** 1023086568 (Entity type: Individual)
- **Enumerated:** March 10, 2006
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** R128366-4 (Minnesota)
- **Sole proprietor:** No
## Practice location
- **Address:** 875 E MAIN ST, Waconia, MN 55387-1081
- **Phone:** (866) 389-2727
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 5 organizations under Medicare reassignment (form CMS-855R): Minnesota Oncology Hematology, PA (NPI 1447394424, Waconia, MN); Minuteclinic Diagnostic Of Minnesota, P.A. (NPI 1407227945, Eagan, MN); Carris Health LLC (NPI 1134632680, Willmar, MN); Signify Health Medical Associates, PLLC (NPI 1750845863, Dallas, TX); Brookview Medical Associates, PLLC (NPI 1871965855, Bohemia, NY) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 8, 2025
- **Other identifiers:** Other 0105787 (MN); Other 1241627 (MN); Medicaid 404934900 (MD); and 6 more
---
Source: [NPI Profile](https://npiprofile.com/npi/1023086568) · Data from the CMS NPPES public registry.