MRS. JESSICA JAYNE ARCHBOLD
NPI 1902215064
Nurse Anesthetist, Certified Registered in Minneapolis, MN

Q: What is Jessica Archbold's NPI number?

The NPI number for Jessica Archbold is 1902215064. It was assigned to this individual provider in the NPPES registry on August 3, 2014.

Q: What is Jessica Archbold's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Jessica Archbold was last updated on October 6, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.

Active since August 03, 2014Accepts Medicare Assignment

2828 CHICAGO AVE, MINNEAPOLIS, MN 55407(612) 871-7639 Get Directions Write a Review

NPPES record last updated: October 6, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Mrs. Jessica Jayne Archbold NPPES

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

MRS. JESSICA JAYNE ARCHBOLD (NPI 1902215064) is an individual nurse anesthetist, certified registered in Minneapolis, Minnesota, licensed in Tennessee (103434) and active in the NPI registry since August 2014. She is affiliated with Ridgeview Medical Center and is a graduate of Other (2014).

NPPES Registry Identity

NPI1902215064

Entity TypeIndividualFemale

Primary Taxonomy367500000X

Provider Legal NameMRS. JESSICA JAYNE ARCHBOLD

Location Address2828 CHICAGO AVEMinneapolis, MN 55407-1573

Mailing Address512 W 53rd StMinneapolis, MN 55419-1225 · (602) 501-0358

Phone(612) 871-7639

Sole ProprietorNo

Medical School CMSOtherGraduated 2014

Enumeration DateAugust 3, 2014

Last NPPES UpdateOctober 6, 2014

✔ NPI 1902215064 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 TN · 103434

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 221051-3 (MN), RN0000178937 (TN)

2828 CHICAGO AVE, Minneapolis, MN 55407

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica.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

Mrs. Jessica Jayne Archbold 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 ID3375765118

PECOS Enrollment IDI20141112001064

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Ridgeview Medical Center

Acute Care Hospitals · Waconia, MN

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number240056

Location500 South Maple StreetWaconia, MN 55387 · Carver County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55407 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.

KRISTEN M BAINBRIDGE

Nurse Anesthetist, Certified Registered

2828 CHICAGO AVE, SUITE 300
MINNEAPOLIS, MN 55407

Hennepin County (612) 871-7639

KACIE NICOLE WOTTRENG CRNA

Nurse Anesthetist, Certified Registered

2828 CHICAGO AVE, SUITE 300
MINNEAPOLIS, MN 55407

Hennepin County (612) 871-7639

QUEST DIAGNOSTICS LLC IL

Clinical Medical Laboratory

2828 CHICAGO AVE
MINNEAPOLIS, MN 55407

Hennepin County (612) 879-1502

CHARLOTTE MAE FARMER RN, MA, CNP

Psychiatry & Neurology (Neurology)

2828 CHICAGO AVE, STE 200
MINNEAPOLIS, MN 55407

Hennepin County (612) 879-1000

PAUL HOWARD KUNECK MD

Obstetrics & Gynecology (Reproductive Endocrinology)

2828 CHICAGO AVE, SUITE 400
MINNEAPOLIS, MN 55407

Hennepin County (612) 863-5390

SALLY K JOHNSON CRNA

Nurse Anesthetist, Certified Registered

2828 CHICAGO AVE, STE 300
MINNEAPOLIS, MN 55407

Hennepin County (612) 871-7639

STEPHANIE MARIE BRAKEL PA-C

Physician Assistant

2828 CHICAGO AVE, SUITE 200
MINNEAPOLIS, MN 55407

Hennepin County (612) 879-1000

ANGELA MARIE WISKI CRNA

Nurse Anesthetist, Certified Registered

2828 CHICAGO AVE
MINNEAPOLIS, MN 55407

Hennepin County (612) 871-7639

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 Jessica Archbold's NPI number?

The NPI number for Jessica Archbold is 1902215064. It was assigned to this individual provider in the NPPES registry on August 3, 2014.

Where is Jessica Archbold located?

Jessica Archbold practices at 2828 Chicago Ave, Minneapolis, MN 55407. The listed phone number is (612) 871-7639.

What is Jessica Archbold's specialty?

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

Is Jessica Archbold enrolled in Medicare?

Yes. Jessica Archbold 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 Jessica Archbold accept?

Health plans from Medica list Jessica Archbold 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.

Is Jessica Archbold affiliated with any hospitals?

According to CMS data, Jessica Archbold is affiliated with Ridgeview Medical Center.

When was this NPI record last updated?

The NPPES record for Jessica Archbold was last updated on October 6, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.