JESSICA L KHAN CRNA
NPI 1124293915
Nurse Anesthetist, Certified Registered in Eagan, MN
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 enrolled in Medicare PECOS, is affiliated with M Health Fairview Ridges Hospital, and is a graduate of Other (2008).
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 1
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
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.
Medicare Billing Reassignments
2Medicare enrollment records show Jessica Khan reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Burnsville, MN 55337
- Reassigned Medicare billing, Minnesota enrollment
- 48 clinicians in this Medicare group
Plymouth, MN 55447
- Reassigned Medicare billing, Minnesota enrollment
- 1,033 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.
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, MNPhysician 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.
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.
EAGAN, MN 55121
EAGAN, MN 55121
EAGAN, MN 55121
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 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.
Where is Jessica Khan located?
Jessica Khan practices at 2620 Eagan Woods Dr Ste 300, Eagan, MN 55121. The listed phone number is (651) 968-5240.
What is Jessica Khan's specialty?
The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.
Is Jessica Khan enrolled in Medicare?
Yes. Jessica Khan 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 Jessica Khan's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jessica Khan reassigns Medicare benefits to 2 organizations: South Metropolitan Anesthesia, PA (Burnsville, MN) and Metropolitan Anesthesia Network, LLP (Plymouth, 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 Jessica Khan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Jessica Khan affiliated with any hospitals?
According to CMS data, Jessica Khan is affiliated with M Health Fairview Ridges Hospital.
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 7 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.
# Jessica L Khan, CRNA · NPI 1124293915
Nurse Anesthetist, Certified Registered physician in Eagan, Minnesota. Individual provider, active in the CMS NPPES registry since April 23, 2008.
## Identity
- **NPI:** 1124293915 (Entity type: Individual)
- **Enumerated:** April 23, 2008
- **Primary specialty:** Nurse Anesthetist, Certified Registered · taxonomy 367500000X
- **State license:** R 160103-9 (Minnesota)
- **Sole proprietor:** No
## Practice location
- **Address:** 2620 EAGAN WOODS DR STE 300, Eagan, MN 55121-1138
- **Phone:** (651) 968-5240
## 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): South Metropolitan Anesthesia, PA (NPI 1649265737, Burnsville, MN); Metropolitan Anesthesia Network, LLP (NPI 1558314427, Plymouth, MN) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2008
## Record status
- **NPPES last updated:** August 23, 2019
- **Other identifiers:** Medicaid ENROLLED (MN)
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Source: [NPI Profile](https://npiprofile.com/npi/1124293915) · Data from the CMS NPPES public registry.