HOLLY JEANETTE JACEK CRNA
NPI 1255605267
Nurse Anesthetist, Certified Registered in Little Rock, AR
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
Specialties & Licenses 2
Other Names 1
Secondary Practice Location 1
Accepted Insurance
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
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.
Medicare Billing Reassignments
10Medicare enrollment records show Holly Jacek reassigns Medicare billing to 10 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Little Rock, AR 72205
- Reassigned Medicare billing, Arkansas enrollment
- 2,038 clinicians in this Medicare group
Little Rock, AR 72205
- Reassigned Medicare billing, Arkansas enrollment
- 123 clinicians in this Medicare group
Little Rock, AR 72204
- Reassigned Medicare billing, Arkansas enrollment
- 176 clinicians in this Medicare group
Little Rock, AR 72205
- Reassigned Medicare billing, Arkansas enrollment
- 288 clinicians in this Medicare group
Little Rock, AR 72205
- Reassigned Medicare billing, Arkansas enrollment
- 253 clinicians in this Medicare group
Little Rock, AR 72205
- Reassigned Medicare billing, Arkansas enrollment
- Medicare enrollment name: Premier Gastroenterology Associates PLLC
- 72 clinicians in this Medicare group
Little Rock, AR 72212
- Reassigned Medicare billing, Arkansas enrollment
- 50 clinicians in this Medicare group
Little Rock, AR 72212
- Reassigned Medicare billing, Arkansas enrollment
- 84 clinicians in this Medicare group
Benton, AR 72015
- Reassigned Medicare billing, Arkansas enrollment
- 182 clinicians in this Medicare group
Conway, AR 72032
- Reassigned Medicare billing, Arkansas enrollment
- 17 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 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.
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.
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.
LITTLE ROCK, AR 72205
LITTLE ROCK, AR 72205
LITTLE ROCK, AR 72205
LITTLE ROCK, AR 72205
LITTLE ROCK, AR 72205
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.
Which organizations bill Medicare for Holly Jacek's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Holly Jacek reassigns Medicare benefits to 10 organizations: University Of Arkansas For Medical Sciences (Little Rock, AR), Southern Regional Anesthesiology Consultants PLLC (Little Rock, AR), Orthoarkansas, PA (Little Rock, AR), St. Vincent Medical Group (Little Rock, AR), Arkansas Health Group (Little Rock, AR) and 5 more organizations, listed in the Medicare section above. 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 Holly Jacek's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Holly Jacek accept?
Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 4 other insurers 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.
# Holly Jeanette Jacek, CRNA · NPI 1255605267
Nurse Anesthetist, Certified Registered physician in Little Rock, Arkansas. Individual provider, active in the CMS NPPES registry since March 8, 2012.
## Identity
- **NPI:** 1255605267 (Entity type: Individual)
- **Enumerated:** March 8, 2012
- **Primary specialty:** Nurse Anesthetist, Certified Registered · taxonomy 367500000X
- **State license:** C02918 (Arkansas)
- **Sole proprietor:** No
## Practice location
- **Address:** 4301 W MARKHAM ST # 515, Little Rock, AR 72205-7101
- **Phone:** (501) 686-6114 · **Fax:** (501) 686-8139
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Bills Medicare through:** 10 organizations under Medicare reassignment (form CMS-855R): University Of Arkansas For Medical Sciences (NPI 1043372220, Little Rock, AR); Southern Regional Anesthesiology Consultants PLLC (NPI 1902231673, Little Rock, AR); Orthoarkansas, PA (NPI 1154823961, Little Rock, AR); St. Vincent Medical Group (NPI 1134176480, Little Rock, AR); Arkansas Health Group (NPI 1508800962, Little Rock, AR); and 5 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2012
## Record status
- **NPPES last updated:** May 30, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1255605267) · Data from the CMS NPPES public registry.