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

Jackie Yang, NP

Individual provider Nurse Practitioner · NPI 1235506247

Jackie Yang, NP is a Nurse Practitioner in Waconia, Minnesota. Qualified in 2016, 10 years ago. Practices with Northern Lights Health LLC, an 11-clinician group and accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
10
Licensed in
MN
In the registry since
2015
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

See every abbreviation used in this directory →

Practice location Address checks out

546 S Elm St
Waconia, MN 55387-1814
Phone: (651) 603-4565
Show map & directions

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

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 6627 (MN)

Record details

NPI number1235506247
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorNo
NPI enumeratedAugust 25, 2015
Last updated in NPPESAugust 29, 2023
Certification dateAugust 29, 2023
Mailing address546 S Elm St, Waconia, MN 55387-1814

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Northern Lights Health Llc — 11 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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