Jaycob Nietfeld, APRN in Long Prairie, MN - Medicare Nurse Practitioner

Jaycob Nietfeld, APRN is a medicare enrolled "Nurse Practitioner - Family" in Long Prairie, Minnesota. He graduated from nursing school in 2020 and has 4 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Centracare Health System - Long Prairie and his current practice location is 50 Centracare Dr, Long Prairie, Minnesota. You can reach out to his office (for appointments etc.) via phone at (320) 732-2131.

Jaycob Nietfeld is licensed to practice in Minnesota (license number 7821) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1417544479.

Contact Information

	Jaycob Nietfeld, APRN
	50 Centracare Dr, Long Prairie, MN 56347-2100
	(320) 732-2131
	Not Available

Map and Direction

Provider's Profile

Full Name	Jaycob Nietfeld
Gender	Male
Speciality	Nurse Practitioner
Experience	4 Years
Location	50 Centracare Dr, Long Prairie, Minnesota
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Jaycob Nietfeld graduated from nursing school in 2020

NPI Data:

NPI Number: 1417544479
Provider Enumeration Date: 12/24/2020
Last Update Date: 12/24/2020

Medicare PECOS Information:

PECOS PAC ID: 6800200601
Enrollment ID: I20210205000004

Medical Identifiers

Medical identifiers for Jaycob Nietfeld such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1417544479	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	78211 (Minnesota)	Secondary
363LF0000X	Nurse Practitioner - Family	7821 (Minnesota)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Centracare Health System - Long Prairie	Long prairie, MN	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Centracare Health System - Long Prairie	3870524598	30

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Jaycob Nietfeld allows following entities to bill medicare on his behalf.

Entity Name	Centracare Clinic
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1043212665 PECOS PAC ID: 2466363395 Enrollment ID: O20031105000293

Entity Name	Centracare Health System - Long Prairie
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1164471678 PECOS PAC ID: 3870524598 Enrollment ID: O20050823000460

Entity Name	Centracare Health System - Long Prairie
Entity Type	Part A Provider - Critical Access Hospital
Entity Identifiers	NPI Number: 1164471678 PECOS PAC ID: 3870524598 Enrollment ID: O20061104000579

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jaycob Nietfeld is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Jaycob Nietfeld, APRN 50 Centracare Dr, Long Prairie, MN 56347-2100 Ph: (320) 732-2131	Jaycob Nietfeld, APRN 50 Centracare Dr, Long Prairie, MN 56347-2100 Ph: (320) 732-2131

Reviews and Comments

Nurse Practitioner Nurses in Long Prairie, MN

Jennifer Marie Love, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 50 Centracare Dr, Long Prairie, MN 56347 Phone: 320-732-2141
Janelle Mary Terhaar, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 20 9th St Se, Long Prairie, MN 56347 Phone: 320-732-2141 Fax: 320-732-6913
Dr. Camilla Peterson-devries, CNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 18 2nd St N, Long Prairie, MN 56347 Phone: 320-732-8162
Tricia Jean Shoutz, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 20 9th St Se, Long Prairie, MN 56347 Phone: 320-732-2141
Christine M. Olson, R.N. CN/P Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 20 9th St Se, Centracare Health System - Long Prairie, Long Prairie, MN 56347 Phone: 320-732-2141 Fax: 320-732-6913
Toni Nicole Drum, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 50 Centracare Dr, Long Prairie, MN 56347 Phone: 320-732-2131

Jaycob Nietfeld, APRN - Medicare Nurse Practitioner in Long Prairie, MN