Carly Jo Eastwold, DNP, AGACNP-BC - Medicare Nurse Practitioner in Saint Cloud, MN

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Carly Jo Eastwold, DNP, AGACNP-BC is a medicare enrolled "Nurse Practitioner - Acute Care" in Saint Cloud, Minnesota. She graduated from nursing school in 2024 and has 2 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Centracare Clinic and her current practice location is 1406 6th Ave N, Saint Cloud, Minnesota. You can reach out to her office (for appointments etc.) via phone at (320) 251-2700.

Carly Jo Eastwold is licensed to practice in Minnesota (license number 2024026) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1700625043.

Contact Information

Carly Jo Eastwold, DNP, AGACNP-BC
1406 6th Ave N,
Saint Cloud, MN 56303-1901
(320) 251-2700
Not Available

Map and Direction




Provider's Profile

Full NameCarly Jo Eastwold
GenderFemale
SpecialityNurse Practitioner
Experience2 Years
Location1406 6th Ave N, Saint Cloud, Minnesota
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Carly Jo Eastwold graduated from nursing school in 2024
  NPI Data:
  • NPI Number: 1700625043
  • Provider Enumeration Date: 05/24/2024
  • Last Update Date: 06/12/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 5092259119
  • Enrollment ID: I20240701001542

Medical Identifiers

Medical identifiers for Carly Jo Eastwold such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1700625043NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LA2100XNurse Practitioner - Acute Care 2024026 (Minnesota)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Centracare - St. Cloud HospitalSaint cloud, MNHospital
Centracare - Paynesville HospitalPaynesville, MNHospital
Alomere HealthAlexandria, MNHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Centracare Clinic2466363395800

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. Carly Jo Eastwold allows following entities to bill medicare on her behalf.
Entity NameCentracare Clinic
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1043212665
PECOS PAC ID: 2466363395
Enrollment ID: O20031105000293
Entity NameMille Lacs Health System
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1548212699
PECOS PAC ID: 4789577834
Enrollment ID: O20040204000052
Entity NameMille Lacs Health System
Entity TypePart A Provider - Critical Access Hospital
Entity IdentifiersNPI Number: 1548212699
PECOS PAC ID: 4789577834
Enrollment ID: O20070910000977
Entity NameCentracare Health System-nr LLC
Entity TypePart A Provider - Critical Access Hospital
Entity IdentifiersNPI Number: 1275872772
PECOS PAC ID: 3870739410
Enrollment ID: O20130426000215
Entity NameCentracare Health System-nr LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1558600874
PECOS PAC ID: 3870739410
Enrollment ID: O20130515000683

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. Carly Jo Eastwold 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 AddressPractice Location Address
Carly Jo Eastwold, DNP, AGACNP-BC
1406 6th Ave N,
Saint Cloud, MN 56303-1901

Ph: (320) 251-2700		Carly Jo Eastwold, DNP, AGACNP-BC
1406 6th Ave N,
Saint Cloud, MN 56303-1901

Ph: (320) 251-2700

Reviews and Comments


Nurse Practitioner Nurses in Saint Cloud, MN

Veronica Jo Chapp, FNP-C
Nurse Practitioner
Medicare: May Accept Medicare Assignments
Practice Location: 1406 6th Ave N, Saint Cloud, MN 56303
Phone: 320-251-2700    
Angela Dorothy Moscho, APRN
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 4801 Veterans Dr, Saint Cloud, MN 56303
Phone: 320-252-1670    Fax: 320-255-6378
Mandy Fay Krippner, APRN, CNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 1406 6th Ave N, Saint Cloud, MN 56303
Phone: 320-251-2700    
Lindsey Beckman,
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1301 33rd St S, Saint Cloud, MN 56301
Phone: 701-373-1826    
Kristen J Heffern, ARNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 1301 33rd St S, Saint Cloud, MN 56301
Phone: 320-251-8181    Fax: 320-257-1733
Naomi Maangi,
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 524 25th Ave N, Saint Cloud, MN 56303
Phone: 320-202-1909    
Jessica Hollenkamp, CNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1200 6th Ave N, Saint Cloud, MN 56303
Phone: 320-252-5131    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.