MS. JANE A HOLM C.R.N.A.
NPI 1124007794
Nurse Anesthetist, Certified Registered in St Louis Park, MN
About Ms. Jane A Holm C.r.n.a. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MS. JANE A HOLM C.R.N.A. (NPI 1124007794) is an individual nurse anesthetist, certified registered in St Louis Park, Minnesota, licensed in Minnesota (R 100791-8) and active in the NPI registry since January 2006. She is enrolled in Medicare PECOS and is a graduate of Other (1988).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Ms. Jane A Holm C.r.n.a. 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.
Medicare Billing Reassignments
2Medicare enrollment records show Jane Holm reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
St Louis Park, MN 55426
- Reassigned Medicare billing, Minnesota enrollment
- 146 clinicians in this Medicare group
Shakopee, MN 55379
- Reassigned Medicare billing, Minnesota enrollment
- 35 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
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 55426 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 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
ST LOUIS PARK, MN 55426
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 Jane Holm's NPI number?
The NPI number for Jane Holm is 1124007794. It was assigned to this individual provider in the NPPES registry on January 12, 2006.
Where is Jane Holm located?
Jane Holm practices at 6500 Excelsior Blvd, St Louis Park, MN 55426. The listed phone number is (952) 993-5222.
What is Jane Holm's specialty?
The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.
Is Jane Holm enrolled in Medicare?
Yes. Jane Holm is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Jane Holm's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jane Holm reassigns Medicare benefits to 2 organizations: Park Nicollet Methodist Hospital (St Louis Park, MN) and St Francis Ambulatory Services LLC (Shakopee, MN). 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 Jane Holm'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 Jane Holm was last updated on May 1, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years 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.
# Ms. Jane A Holm, C.R.N.A. · NPI 1124007794
Nurse Anesthetist, Certified Registered physician in St Louis Park, Minnesota. Individual provider, active in the CMS NPPES registry since January 12, 2006.
## Identity
- **NPI:** 1124007794 (Entity type: Individual)
- **Enumerated:** January 12, 2006
- **Primary specialty:** Nurse Anesthetist, Certified Registered · taxonomy 367500000X
- **State license:** R 100791-8 (Minnesota)
- **Sole proprietor:** No
## Practice location
- **Address:** 6500 EXCELSIOR BLVD, St Louis Park, MN 55426-4702
- **Phone:** (952) 993-5222
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Park Nicollet Methodist Hospital (NPI 1083622047, St Louis Park, MN); St Francis Ambulatory Services LLC (NPI 1083442602, Shakopee, MN) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 1988
## Record status
- **NPPES last updated:** May 1, 2015
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Source: [NPI Profile](https://npiprofile.com/npi/1124007794) · Data from the CMS NPPES public registry.