DR. JACLYN ROSE GUETZKO DNP, APRN, CNP
NPI 1275914020
Nurse Practitioner - Adult Health in Minneapolis, MN

Active since June 17, 2015PECOS EnrolledAccepts Medicare Assignment
3433 BROADWAY ST NE STE 300, MINNEAPOLIS, MN 55413(763) 587-7737 Get Directions Write a Review

NPPES record last updated: September 23, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Jaclyn Rose Guetzko Dnp, Aprn, Cnp NPPES

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

DR. JACLYN ROSE GUETZKO DNP, APRN, CNP (NPI 1275914020) is an individual adult health provider in Minneapolis, Minnesota, licensed in Minnesota (CNP3931) and active in the NPI registry since June 2015. She is enrolled in Medicare PECOS, is affiliated with Park Nicollet Methodist Hospital, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1275914020
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameDR. JACLYN ROSE GUETZKOCredential: DNP, APRN, CNP
Location Address3433 BROADWAY ST NE STE 300Minneapolis, MN 55413-1761
Mailing Address3433 Broadway St Ne Ste 300Minneapolis, MN 55413-1761 · (763) 587-7737 · Fax (651) 383-4551
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateJune 17, 2015
Last NPPES UpdateSeptember 23, 2025
NPPES CertifiedSeptember 23, 2025
✔ NPI 1275914020 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License✔ Licensed in MN · CNP3931
Also ListedNurse Practitioner · GerontologyTaxonomy 363LG0600X · License CNP3931 (MN)
3433 BROADWAY ST NE STE 300, Minneapolis, MN 55413

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

Dr. Jaclyn Rose Guetzko Dnp, Aprn, Cnp 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 ID6507179132
PECOS Enrollment IDI20150724011528
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

4

Medicare enrollment records show Jaclyn Guetzko reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Same address
Hospice and Palliative Medicine
3433 BROADWAY ST NE STE 300
Minneapolis, MN 55413
  • Reassigned Medicare billing, Minnesota enrollment
  • 44 clinicians in this Medicare group
Geriatric Medicine
3433 BROADWAY ST NE STE 300
Minneapolis, MN 55413
  • Reassigned Medicare billing, Minnesota enrollment
  • 46 clinicians in this Medicare group
Obstetrics & Gynecology
121 S 8TH ST STE 600
Minneapolis, MN 55402
  • Reassigned Medicare billing, Minnesota enrollment
  • 3,733 clinicians in this Medicare group
Geriatric Medicine
5320 W 23RD ST STE 130
St Louis Park, MN 55416
  • Reassigned Medicare billing, Minnesota enrollment
  • 60 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.

Park Nicollet Methodist Hospital

Acute Care Hospitals · Saint Louis Park, MN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240053
Location6500 Excelsior BlvdSaint Louis Park, MN 55426 · Hennepin County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55413 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
$85.82 typical visit price
range $56.00 – $168.28
Typical copayment $21.45 (range $14.00 – $42.07)
Most-billed visit code 99203
Established Patient
$98.61 typical visit price
range $18.32 – $138.04
Typical copayment $24.65 (range $4.58 – $34.51)
Most-billed visit code 99214
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.

Nurse Practitioner (Gerontology)
3433 BROADWAY ST NE STE 300
MINNEAPOLIS, MN 55413
Nurse Practitioner (Adult Health)
3433 BROADWAY ST NE STE 300
MINNEAPOLIS, MN 55413
Nurse Practitioner (Gerontology)
3433 BROADWAY ST NE STE 300
MINNEAPOLIS, MN 55413
Nurse Practitioner (Gerontology)
3433 BROADWAY ST NE STE 300
MINNEAPOLIS, MN 55413
Nurse Practitioner (Gerontology)
3433 BROADWAY ST NE STE 300
MINNEAPOLIS, MN 55413
Nurse Practitioner (Gerontology)
3433 BROADWAY ST NE STE 300
MINNEAPOLIS, MN 55413
Family Medicine (Hospice and Palliative Medicine)
3433 BROADWAY ST NE STE 300
MINNEAPOLIS, MN 55413
Nurse Practitioner (Gerontology)
3433 BROADWAY ST NE STE 300
MINNEAPOLIS, MN 55413

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 Jaclyn Guetzko's NPI number?

The NPI number for Jaclyn Guetzko is 1275914020. It was assigned to this individual provider in the NPPES registry on June 17, 2015.

Where is Jaclyn Guetzko located?

Jaclyn Guetzko practices at 3433 Broadway St NE Ste 300, Minneapolis, MN 55413. The listed phone number is (763) 587-7737.

What is Jaclyn Guetzko's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Jaclyn Guetzko enrolled in Medicare?

Yes. Jaclyn Guetzko 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 Jaclyn Guetzko's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jaclyn Guetzko reassigns Medicare benefits to 4 organizations: Genevive Aco LLC (Minneapolis, MN), Geriatric Services Of Minnesota, LLC (Minneapolis, MN), Allina Health System (Minneapolis, MN) and Lifespark Medical Group, PA (St Louis Park, 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 Jaclyn Guetzko's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Jaclyn Guetzko affiliated with any hospitals?

According to CMS data, Jaclyn Guetzko is affiliated with Park Nicollet Methodist Hospital.

When was this NPI record last updated?

The NPPES record for Jaclyn Guetzko was last updated on September 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.