JACQUELINE KAY FORD DUFOUR CRNA
NPI 1720414832
Nurse Anesthetist, Certified Registered in Roseville, MN
About Jacqueline Kay Ford Dufour Crna NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JACQUELINE KAY FORD DUFOUR CRNA (NPI 1720414832) is an individual nurse anesthetist, certified registered in Roseville, Minnesota, licensed in Minnesota (R180766-8) and active in the NPI registry since September 2013. She is enrolled in Medicare PECOS, is affiliated with Allina United Hospital, and is a graduate of Other (2014).
NPPES Registry Identity
Specialties & Licenses
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
Jacqueline Kay Ford Dufour 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 Jacqueline Dufour reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Plymouth, MN 55447
- Reassigned Medicare billing, Minnesota enrollment
- 1,033 clinicians in this Medicare group
Stillwater, MN 55082
- Reassigned Medicare billing, Minnesota enrollment
- 131 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 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Allina United Hospital
Acute Care Hospitals · Saint Paul, MNM Health Fairview Woodwinds Hospital
Acute Care Hospitals · Woodbury, MNPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 55113 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 8
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
ROSEVILLE, MN 55113
ROSEVILLE, MN 55113
ROSEVILLE, MN 55113
ROSEVILLE, MN 55113
ROSEVILLE, MN 55113
ROSEVILLE, MN 55113
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 Jacqueline Dufour's NPI number?
The NPI number for Jacqueline Dufour is 1720414832. It was assigned to this individual provider in the NPPES registry on September 20, 2013.
Where is Jacqueline Dufour located?
Jacqueline Dufour practices at 2700 Snelling Ave N Suite 400, Roseville, MN 55113. The listed phone number is (651) 697-5863.
What is Jacqueline Dufour's specialty?
The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.
Is Jacqueline Dufour enrolled in Medicare?
Yes. Jacqueline Dufour 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 Jacqueline Dufour's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jacqueline Dufour reassigns Medicare benefits to 2 organizations: Metropolitan Anesthesia Network, LLP (Plymouth, MN) and Certified Anesthesia Care, Co. (Stillwater, 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 Jacqueline Dufour's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Jacqueline Dufour affiliated with any hospitals?
According to CMS data, Jacqueline Dufour is affiliated with Allina United Hospital and M Health Fairview Woodwinds Hospital.
When was this NPI record last updated?
The NPPES record for Jacqueline Dufour was last updated on September 20, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.
# Jacqueline Kay Ford Dufour, CRNA · NPI 1720414832
Nurse Anesthetist, Certified Registered physician in Roseville, Minnesota. Individual provider, active in the CMS NPPES registry since September 20, 2013.
## Identity
- **NPI:** 1720414832 (Entity type: Individual)
- **Enumerated:** September 20, 2013
- **Primary specialty:** Nurse Anesthetist, Certified Registered · taxonomy 367500000X
- **State license:** R180766-8 (Minnesota)
- **Sole proprietor:** No
## Practice location
- **Address:** 2700 SNELLING AVE N, SUITE 400, Roseville, MN 55113-1719
- **Phone:** (651) 697-5863
## 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): Metropolitan Anesthesia Network, LLP (NPI 1558314427, Plymouth, MN); Certified Anesthesia Care, Co. (NPI 1699736348, Stillwater, MN) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2014
## Record status
- **NPPES last updated:** September 20, 2013
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Source: [NPI Profile](https://npiprofile.com/npi/1720414832) · Data from the CMS NPPES public registry.