JACQUELYN MUNSON HORN
NPI 1700424744
Nurse Anesthetist, Certified Registered in Minneapolis, MN

Active since December 19, 2019PECOS EnrolledAccepts Medicare Assignment
6500 EXCELSIOR BLVD, MINNEAPOLIS, MN 55426(952) 993-5000 Get Directions Write a Review

NPPES record last updated: March 12, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 12, 2021, Dec 19, 2019 (2 updates tracked since 2019).

About Jacquelyn Munson Horn NPPES

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

JACQUELYN MUNSON HORN (NPI 1700424744) is an individual nurse anesthetist, certified registered in Minneapolis, Minnesota, licensed in Minnesota (2422) and active in the NPI registry since December 2019. She is enrolled in Medicare PECOS, is affiliated with Park Nicollet Methodist Hospital, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1700424744
Entity TypeIndividualFemale
Primary Taxonomy367500000X
Provider Legal NameJACQUELYN MUNSON HORN
Location Address6500 EXCELSIOR BLVDMinneapolis, MN 55426-4702
Mailing Address8170 33rd Ave S # Ms 21110qBloomington, MN 55425-4516
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateDecember 19, 2019
Last NPPES UpdateMarch 12, 20212 updates tracked since enumeration
NPPES CertifiedMarch 12, 2021
✔ NPI 1700424744 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 · 2422
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.
6500 EXCELSIOR BLVD, Minneapolis, MN 55426

Other Names 1

Former Name (1)Jacquelyn Alice Munson

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

Jacquelyn Munson Horn 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 ID1355776063
PECOS Enrollment IDI20200127000131
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

2

Medicare enrollment records show Jacquelyn Horn reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Nurse Anesthetist, Certified Registered
6500 EXCELSIOR BLVD
St Louis Park, MN 55426
  • Reassigned Medicare billing, Minnesota enrollment
  • 146 clinicians in this Medicare group
Anesthesiology
3300 OAKDALE AVE N
Robbinsdale, MN 55422
  • Reassigned Medicare billing, Minnesota enrollment
  • 246 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 55426 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 20

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

Obstetrics & Gynecology
6500 EXCELSIOR BLVD
ST LOUIS PARK, MN 55426
Obstetrics & Gynecology
6500 EXCELSIOR BLVD
ST LOUIS PARK, MN 55426
Internal Medicine
6500 EXCELSIOR BLVD
ST LOUIS PARK, MN 55426
Internal Medicine
6500 EXCELSIOR BLVD
ST LOUIS PARK, MN 55426
Internal Medicine (Cardiovascular Disease)
6500 EXCELSIOR BLVD, PARK NICOLLET CLINIC - HEART & VASCULAR CENTER
ST LOUIS PARK, MN 55426
Occupational Therapist
6500 EXCELSIOR BLVD
ST LOUIS PARK, MN 55426
Physical Therapist
6500 EXCELSIOR BLVD
ST LOUIS PARK, MN 55426
Physical Therapist
6500 EXCELSIOR BLVD
ST LOUIS PARK, MN 55426

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 Jacquelyn Horn's NPI number?

The NPI number for Jacquelyn Horn is 1700424744. It was assigned to this individual provider in the NPPES registry on December 19, 2019. The provider is also known as Jacquelyn Alice Munson.

Where is Jacquelyn Horn located?

Jacquelyn Horn practices at 6500 Excelsior Blvd, Minneapolis, MN 55426. The listed phone number is (952) 993-5000.

What is Jacquelyn Horn's specialty?

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

Is Jacquelyn Horn enrolled in Medicare?

Yes. Jacquelyn Horn 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 Jacquelyn Horn's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jacquelyn Horn reassigns Medicare benefits to 2 organizations: Park Nicollet Methodist Hospital (St Louis Park, MN) and Anesthesiology, P.A. (Robbinsdale, 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 Jacquelyn Horn's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Jacquelyn Horn affiliated with any hospitals?

According to CMS data, Jacquelyn Horn is affiliated with Park Nicollet Methodist Hospital.

When was this NPI record last updated?

The NPPES record for Jacquelyn Horn was last updated on March 12, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.