HOLLY JEANETTE JACEK CRNA
NPI 1255605267
Nurse Anesthetist, Certified Registered in Little Rock, AR

Active since March 08, 2012Accepts Medicare Assignment
4301 W MARKHAM ST # 515, LITTLE ROCK, AR 72205(501) 686-6114(501) 686-8139 Get Directions Write a Review

NPPES record last updated: May 30, 2023. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Holly Jeanette Jacek Crna NPPES

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

HOLLY JEANETTE JACEK CRNA (NPI 1255605267) is an individual nurse anesthetist, certified registered in Little Rock, Arkansas, licensed in Arkansas (C02918) and active in the NPI registry since March 2012. She maintains a secondary practice location in Little Rock and is a graduate of Other (2012).

NPPES Registry Identity

NPI1255605267
Entity TypeIndividualFemale
Primary Taxonomy367500000X
Provider Legal NameHOLLY JEANETTE JACEKCredential: CRNA
Location Address4301 W MARKHAM ST # 515Little Rock, AR 72205-7101
Mailing Address4301 W Markham St # 783Little Rock, AR 72205-7101 · (501) 686-7000 · Fax (501) 526-5148
Fax(501) 686-8139
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateMarch 8, 2012
Last NPPES UpdateMay 30, 2023
NPPES CertifiedMay 30, 2023
NPI 1255605267 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
License Licensed in AR · C02918
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.
Also ListedRegistered NurseTaxonomy 163W00000X · License R73609 (AR)
4301 W MARKHAM ST # 515, Little Rock, AR 72205

Other Names 1

Former Name (1)Holly J Rogers

Secondary Practice Location 1

Location 1500 S. University Ave., Suite 505Little Rock, AR 72205-5307 · Phone (501) 664-4532 ext. 113 · Fax (501) 663-4335

Accepted 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

Holly Jeanette Jacek 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 ID2264696780
PECOS Enrollment IDI20120614000038

Areas of Expertise CMS Part B claims 5

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.

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.
58 services52 patients
Anesthesia for other procedure on skin, muscles, or nerves of head, neck, and upper back 00300
Anesthesia for procedures on skin, muscles, or nerves of the head, neck, and upper back involves using medication to numb the area or make you unconscious during the procedure. This ensures you don't feel pain or discomfort. It's safe and monitored by professionals.
26 services26 patients
Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope 00731
This procedure involves the use of an endoscope, a flexible tube with a light and camera, to examine your esophagus, stomach, or upper small bowel. Anesthesia ensures you are comfortable and pain-free during the procedure.
16 services16 patients
Anesthesia for procedure on eyelid 00103
Anesthesia for an eyelid procedure helps ensure comfort and painlessness during the operation. It's typically a local anesthetic, applied to numb your eyelid and surrounding area. You'll likely be awake but won't feel any discomfort. It's a safe, routine part of many eye procedures.
14 services14 patients
Anesthesia for other procedure on skin of arms, legs, and front body 00400
Anesthesia for procedures on the skin of your arms, legs, and front body is a service that numbs the area being treated. This ensures you don't feel pain during procedures like biopsies, stitches, or minor surgeries. It's administered through a small injection or a topical cream.
14 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 72205 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
$119.36 typical visit price
range $51.36 – $157.74
Typical copayment $29.84 (range $12.84 – $39.43)
Most-billed visit code 99204
Established Patient
$64.56 typical visit price
range $16.16 – $128.77
Typical copayment $16.14 (range $4.04 – $32.19)
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 20

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

Anesthesiology
4301 W MARKHAM ST # 515
LITTLE ROCK, AR 72205
Nurse Anesthetist, Certified Registered
4301 W MARKHAM ST # 515
LITTLE ROCK, AR 72205
Student in an Organized Health Care Education/Training Program
4301 W MARKHAM ST # 515
LITTLE ROCK, AR 72205
Anesthesiology
4301 W MARKHAM ST # 515
LITTLE ROCK, AR 72205
Nurse Anesthetist, Certified Registered
4301 W MARKHAM ST # 515
LITTLE ROCK, AR 72205
Anesthesiology (Critical Care Medicine)
4301 W MARKHAM ST # 515
LITTLE ROCK, AR 72205
Student in an Organized Health Care Education/Training Program
4301 W MARKHAM ST # 515
LITTLE ROCK, AR 72205
Anesthesiology
4301 W MARKHAM ST # 515
LITTLE ROCK, AR 72205

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 Holly Jacek's NPI number?

The NPI number for Holly Jacek is 1255605267. It was assigned to this individual provider in the NPPES registry on March 8, 2012. The provider is also known as Holly J Rogers.

Where is Holly Jacek located?

Holly Jacek practices at 4301 W Markham St # 515, Little Rock, AR 72205. The listed phone number is (501) 686-6114.

What is Holly Jacek's specialty?

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

Is Holly Jacek enrolled in Medicare?

Yes. Holly Jacek 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.

What insurance does Holly Jacek accept?

Health plans from Arkansas Blue Cross and Blue Shield, Health Advantage and Octave list Holly Jacek as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Holly Jacek was last updated on May 30, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.