Jacob Kingston, RN
NPI 1366019796 · Certified Registered Nurse Anesthetist · Plymouth, MN
Enrolled with Medicare as Practitioner - Certified Registered Nurse Anesthetist (crna) · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Jacob Kingston, RN is a Certified Registered Nurse Anesthetist provider in Plymouth, MN (NPI 1366019796).
Provider details
- NPI number
- 1366019796
- Entity type
- Individual
- Primary specialty
- Certified Registered Nurse AnesthetistPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- RN
- Sex
- Male
- Sole proprietor
- No
- License
- 2630 (MN)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
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.
Practice location
Mailing address
Registry dates
- Enumerated
- 2021-06-04
- Last updated
- 2024-05-30
- Certified
- 2024-05-30
Frequently asked questions
- What is Jacob Kingston's NPI number?
- Jacob Kingston's National Provider Identifier (NPI) is 1366019796, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jacob Kingston's specialty?
- Jacob Kingston is listed in the NPPES registry with a primary specialty of Certified Registered Nurse Anesthetist (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Jacob Kingston located?
- Jacob Kingston's practice location on file with NPPES is 14700 28th Ave N Ste 20, Plymouth, MN 55447-4876.
- What is Jacob Kingston's phone number?
- The practice phone number listed in the NPPES registry for Jacob Kingston is (763) 559-3779.
- Does Jacob Kingston accept Medicare?
- Jacob Kingston is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Jacob Kingston's NPI active?
- Yes — Jacob Kingston's NPI (1366019796) is active in the NPPES registry as of the last update on 2024-05-30.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.