Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Carly Jo Eastwold, DNP, AGACNP-BC

Individual provider Acute Care Nurse Practitioner · NPI 1700625043

Carly Jo Eastwold, DNP, AGACNP-BC is a Nurse Practitioner in Saint Cloud, Minnesota. Qualified in 2024, 2 years ago. Practices with Centracare Clinic, a 782-clinician group and accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
2
Licensed in
MN
In the registry since
2024
What do these letters mean?
DNP — Doctor of Nursing Practice
The highest clinical degree in nursing.

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Practice location Address checks out

1406 6th Ave N
Saint Cloud, MN 56303-1901
Phone: (320) 251-2700
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Acute Care Nurse Practitioner (primary) Taxonomy 363LA2100X · Licence 2024026 (MN)

Record details

NPI number1700625043
Entity typeIndividual (Type 1)
GenderFemale
Credentials DNP , AGACNP-BC
Sole proprietorNo
NPI enumeratedMay 24, 2024
Last updated in NPPESJune 12, 2024
Certification dateJune 12, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Centracare Clinic — 782 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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