JACLYN T. VONBLEICKEN CRNA
NPI 1023102068
Nurse Anesthetist, Certified Registered in Worcester, MA

Active since October 03, 2006Accepts Medicare Assignment
97.02/100
CMS Quality Rating
55 LAKE AVE N, DEPARTMENT OF ANESTHESIOLOGY, WORCESTER, MA 01655(508) 334-3271(508) 856-5911 Get Directions Write a Review

NPPES record last updated: December 2, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Jaclyn T. Vonbleicken Crna NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JACLYN T. VONBLEICKEN CRNA (NPI 1023102068) is an individual nurse anesthetist, certified registered in Worcester, Massachusetts, licensed in Massachusetts (RN255977) and active in the NPI registry since October 2006. She is affiliated with Umass Memorial Healthcare-marlborough Hospital and is a graduate of Other (1999).

NPPES Registry Identity

NPI1023102068
Entity TypeIndividualFemale
Primary Taxonomy367500000X
Provider Legal NameJACLYN T. VONBLEICKENCredential: CRNA
Location Address55 LAKE AVE N, DEPARTMENT OF ANESTHESIOLOGYWorcester, MA 01655-0002
Mailing AddressPo Box 415348Boston, MA 02241-5348
Fax(508) 856-5911
Sole ProprietorNo
Medical School CMSOtherGraduated 1999
Enumeration DateOctober 3, 2006
Last NPPES UpdateDecember 2, 2020
NPPES CertifiedDecember 2, 2020
NPI 1023102068 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
License Licensed in MA · RN255977
Definition

(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.

55 LAKE AVE N, Worcester, MA 01655

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Jaclyn T. Vonbleicken Crna is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4981657640
PECOS Enrollment IDI20050223000291

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Anesthesia for lens surgery 00142
Anesthesia for lens surgery involves administering medication to numb the eye area, ensuring you feel no pain during the procedure. This can be a local anesthetic (numbing only the eye area) or general (where you're asleep). It helps make the surgery comfortable and stress-free.
31 services28 patients
Anesthesia for procedure to correct abnormal heart rhythm 00410
Anesthesia for a procedure to correct abnormal heart rhythm ensures you won't feel pain during the treatment. It can be general, where you're completely asleep, or local, numbing only a specific area. Your vital signs are monitored to ensure safety during the procedure.
16 services16 patients
Anesthesia for other procedure on lower leg, ankle, and foot bones 01480
Anesthesia for procedures on lower leg, ankle, and foot bones involves administering medication to block pain and sensation in these areas. This allows doctors to perform necessary treatments or surgeries without causing discomfort. The type of anesthesia used can vary based on the specific procedure.
12 services12 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Umass Memorial Healthcare-Marlborough Hospital

Acute Care Hospitals · Marlborough, MA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220049
Location157 Union StreetMarlborough, MA 01752 · Middlesex County
Emergency services

Umass Memorial Medical Center/University Campus

Acute Care Hospitals · Worcester, MA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220163
Location55 Lake Avenue NorthWorcester, MA 01655 · Worcester County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 01655 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$134.47 typical visit price
range $58.86 – $177.36
Typical copayment $33.61 (range $14.71 – $44.34)
Most-billed visit code 99204
Established Patient
$73.22 typical visit price
range $19.11 – $144.84
Typical copayment $18.30 (range $4.77 – $36.21)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

97.02/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality78.09
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Anesthetist, Certified Registered
55 LAKE AVE N, DEPARTMENT OF ANESTHESIOLOGY
WORCESTER, MA 01655
Internal Medicine (Cardiovascular Disease)
55 LAKE AVE N, CARDIOLOGY
WORCESTER, MA 01655
Psychiatry & Neurology (Psychiatry)
55 LAKE AVE N
WORCESTER, MA 01655
Genetic Counselor, MS
55 LAKE AVE N, S1-710
WORCESTER, MA 01655
Emergency Medicine
55 LAKE AVE N
WORCESTER, MA 01655
Internal Medicine (Rheumatology)
55 LAKE AVE N
WORCESTER, MA 01655
Internal Medicine
55 LAKE AVE N, DEPARTMENT OF GENERAL MEDICINE
WORCESTER, MA 01655
Pathology (Anatomic Pathology)
55 LAKE AVE N, DEPARTMENT OF PATHOLOGY
WORCESTER, MA 01655

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1023102068, enumerated as an "individual" on October 03, 2006.

The provider is located at 55 LAKE AVE N DEPARTMENT OF ANESTHESIOLOGY WORCESTER, MA 01655 and the phone number is (508) 334-3271.

Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Jaclyn Vonbleicken is affiliated with: UMASS MEMORIAL HEALTHCARE-MARLBOROUGH HOSPITAL and UMASS MEMORIAL MEDICAL CENTER/UNIVERSITY CAMPUS.