JESSICA L KHAN CRNA
NPI 1124293915
Nurse Anesthetist, Certified Registered in Eagan, MN

Q: What is Jessica Khan's NPI number?

The NPI number for Jessica Khan is 1124293915. It was assigned to this individual provider in the NPPES registry on April 23, 2008. The provider is also known as Jessica L Sticka Crna.

Q: What is Jessica Khan's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Q: When was this NPI record last updated?

The NPPES record for Jessica Khan was last updated on August 23, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.

Active since April 23, 2008Accepts Medicare Assignment

2620 EAGAN WOODS DR STE 300, EAGAN, MN 55121(651) 968-5240 Get Directions Write a Review

NPPES record last updated: August 23, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Jessica L Khan Crna NPPES

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

JESSICA L KHAN CRNA (NPI 1124293915) is an individual nurse anesthetist, certified registered in Eagan, Minnesota, licensed in Minnesota (R 160103-9) and active in the NPI registry since April 2008. She is affiliated with M Health Fairview Ridges Hospital and is a graduate of Other (2008).

NPPES Registry Identity

NPI1124293915

Entity TypeIndividualFemale

Primary Taxonomy367500000X

Provider Legal NameJESSICA L KHANCredential: CRNA

Location Address2620 EAGAN WOODS DR STE 300Eagan, MN 55121-1138

Mailing Address2620 Eagan Woods Dr Ste 300Eagan, MN 55121-1138 · (651) 968-5240

Phone(651) 968-5240

Sole ProprietorNo

Medical School CMSOtherGraduated 2008

Enumeration DateApril 23, 2008

Last NPPES UpdateAugust 23, 2019

✔ NPI 1124293915 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 MN · R 160103-9

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.

2620 EAGAN WOODS DR STE 300, Eagan, MN 55121

Open in Google Maps ↗

Other Names 1

Former Name (1)Jessica L Sticka Crna

Other Identifiers 1

MedicaidENROLLEDMN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica.Insurance ›

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

Jessica L Khan 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 ID143399659

PECOS Enrollment IDI20080522000552

Hospital Affiliations CMS Care Compare

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

M Health Fairview Ridges Hospital

Acute Care Hospitals · Burnsville, MN

4/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number240207

Location201 East Nicollet BoulevardBurnsville, MN 55337 · Dakota County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55121 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

$127.61 typical visit price

range $56.00 – $168.28

Typical copayment $31.90 (range $14.00 – $42.07)

Most-billed visit code 99204

Established Patient

$69.74 typical visit price

range $18.32 – $138.04

Typical copayment $17.43 (range $4.58 – $34.51)

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.

Other Providers at the Same Location NPPES 5

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

SCOTT M RIEKEN CRNA

Nurse Anesthetist, Certified Registered