What is Jalissa Kruckman's NPI number?

Jalissa Kruckman's National Provider Identifier (NPI) is 1114238821, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Jalissa Kruckman's specialty?

Jalissa Kruckman is listed in the NPPES registry with a primary specialty of General Practice Dentistry (Dental Providers).

Where is Jalissa Kruckman located?

Jalissa Kruckman's practice location on file with NPPES is 576 Cherry Dr, Waconia, MN 55387.

What is Jalissa Kruckman's phone number?

The practice phone number listed in the NPPES registry for Jalissa Kruckman is (952) 679-4461.

Is Jalissa Kruckman's NPI active?

Yes — Jalissa Kruckman's NPI (1114238821) is active in the NPPES registry as of the last update on 2018-07-16.

IndividualActive

Jalissa Kruckman, DDS

NPI 1114238821 · General Practice Dentistry · Waconia, MN

Jalissa Kruckman, DDS is a General Practice Dentistry provider in Waconia, MN (NPI 1114238821).

Provider details

NPI number: 1114238821
Entity type: Individual
Primary specialty: General Practice DentistryDental Providers
Credential: DDS
Sex: Female
Sole proprietor: Yes
License: D12793 (MN)

Practice location

576 Cherry Dr

Waconia, MN 55387

Phone: (952) 679-4461

Street-level locationGet directions

More MN providers

Mailing address

576 Cherry Dr

Waconia, MN 55387-4578

Specialties & taxonomies

General Practice DentistryPrimary1223G0001XLicense D12793 (MN)
Dental Providers

Profile Score

Detailed profile(86/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure33% of score
16 yrs in NPPES registry
Profile completeness33% of score
100% of core fields populated
Practice footprint20% of score
1 documented practice location
Open Payments transparency13% of score
Has Open Payments disclosures (2024)

Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.

What this provider prescribes (Medicare Part D)

Top drugs by Medicare Part D claim volume, 2024 · 1 distinct drug on file.

Drug	Part D claims (2024)	Beneficiaries
Amoxicillin	16	13

Medicare Part D only. These counts cover prescriptions paid through Medicare Part D in 2024 — they do not include cash-pay, commercial-insurance, Medicaid, or Part B–administered drugs, and badly undercount high cash-pay categories (e.g. GLP-1 weight-loss, testosterone, and ED medications). Any drug with 10 or fewer claims is omitted by CMS, and beneficiary counts under 11 are suppressed — so a missing drug means no Part D record, never zero. This is a factual claims summary, not an endorsement, not medical advice, and not a consumer report. Source: CMS Medicare Part D Prescribers — by Provider and Drug.

Transparency — industry payments

Based on CMS Open Payments, 2024; not all care is captured.

$44 across 1 record (Open Payments 2024)

Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.

Enumerated: 2010-06-28
Last updated: 2018-07-16

Frequently asked questions

What is Jalissa Kruckman's NPI number?: Jalissa Kruckman's National Provider Identifier (NPI) is 1114238821, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
What is Jalissa Kruckman's specialty?: Jalissa Kruckman is listed in the NPPES registry with a primary specialty of General Practice Dentistry (Dental Providers).
Where is Jalissa Kruckman located?: Jalissa Kruckman's practice location on file with NPPES is 576 Cherry Dr, Waconia, MN 55387.
What is Jalissa Kruckman's phone number?: The practice phone number listed in the NPPES registry for Jalissa Kruckman is (952) 679-4461.
Is Jalissa Kruckman's NPI active?: Yes — Jalissa Kruckman's NPI (1114238821) is active in the NPPES registry as of the last update on 2018-07-16.

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Provider details

Practice location

Mailing address

Specialties & taxonomies

Profile Score

What this provider prescribes (Medicare Part D)

Transparency — industry payments

Registry dates

Frequently asked questions

Specialties & taxonomies

Profile Score

What this provider prescribes (Medicare Part D)

Transparency — industry payments

Frequently asked questions