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

Dr. Jacob David Kastner, DO

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1124569413

Dr. Jacob David Kastner, DO is a Sports Medicine in Princeton, Minnesota. Qualified in 2017, 9 years ago. Practices with Fairview Specialty Services, a 304-clinician group and accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
9
Licensed in
WI
In the registry since
2017
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

911 Northland Dr
Princeton, MN 55371-2172
Phone: (763) 389-6353
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Sports Medicine (Physical Medicine & Rehabilitation) Physician (primary) Taxonomy 2081S0010X · Licence 71921-21 (WI)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1124569413
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorYes
NPI enumeratedMarch 20, 2017
Last updated in NPPESJune 4, 2022
Certification dateJune 4, 2022
Mailing address911 Northland Dr, Princeton, MN 55371-2172

Medicare enrollment

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

Medicare specialtySPORTS MEDICINE
Also practisesPHYSICAL MEDICINE AND REHABILITATION
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Fairview Specialty Services — 304 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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