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

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Jaycob Nietfeld, APRN is a medicare enrolled "Nurse Practitioner - Family" in Long Prairie, Minnesota. He graduated from nursing school in 2020 and has 5 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Centracare Clinic, 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 NameJaycob Nietfeld
GenderMale
SpecialityNurse Practitioner
Experience5 Years
Location50 Centracare Dr, Long Prairie, Minnesota
Accepts Medicare AssignmentsYes. 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.
IdentifierTypeStateIssuer
1417544479NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 78211 (Minnesota)Secondary
363LF0000XNurse Practitioner - Family 7821 (Minnesota)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Centracare Health System - Long PrairieLong prairie, MNHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Centracare Clinic2466363395701
Centracare Health System - Long Prairie387052459831

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 NameCentracare Clinic
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1043212665
PECOS PAC ID: 2466363395
Enrollment ID: O20031105000293
Entity NameCentracare Health System - Long Prairie
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1164471678
PECOS PAC ID: 3870524598
Enrollment ID: O20050823000460
Entity NameCentracare Health System - Long Prairie
Entity TypePart A Provider - Critical Access Hospital
Entity IdentifiersNPI Number: 1164471678
PECOS PAC ID: 3870524598
Enrollment ID: O20061104000579
Entity NameCentracare Health-paynesville Llc
Entity TypePart A Provider - Critical Access Hospital
Entity IdentifiersNPI Number: 1205269941
PECOS PAC ID: 1153555719
Enrollment ID: O20131108000012
Entity NameCentracare Health-paynesville Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1629402516
PECOS PAC ID: 1153555719
Enrollment ID: O20140909002390

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 AddressPractice 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    
Kelly Lee Mattson, DNP, APRN
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 50 Centracare Dr, Long Prairie, MN 56347
Phone: 320-732-2131    Fax: 320-732-6913
Bobbie Jo Marie Haagenson, NP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 50 Centracare Dr, Long Prairie, MN 56347
Phone: 320-732-2131    
Christine M. Olson, R.N. CN/P
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 20 9th St Se, Centracare Health System - Long Prairie, Long Prairie, MN 56347
Phone: 320-732-2141    Fax: 320-732-6913

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.