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

Jaycob Nietfeld, APRN

Individual provider Family Nurse Practitioner · NPI 1417544479

Jaycob Nietfeld, APRN is a Nurse Practitioner in Long Prairie, Minnesota. Qualified in 2020, 6 years ago. Practices with Centracare Clinic, a 782-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Minnesota.

Years since qualifying
6
Licensed in
MN
In the registry since
2020
Specialties on file
2
What do these letters mean?
APRN — Advanced Practice Registered Nurse
The umbrella licence covering nurse practitioners, midwives, anaesthetists and clinical nurse specialists.

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Practice location Address checks out

50 Centracare Dr
Long Prairie, MN 56347-2100
Phone: (320) 732-2131
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 7821 (MN)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 78211 (MN)

Record details

NPI number1417544479
Entity typeIndividual (Type 1)
GenderMale
Credentials APRN
Sole proprietorNo
NPI enumeratedDecember 24, 2020
Last updated in NPPESDecember 24, 2020
Certification dateDecember 23, 2020
Mailing address50 Centracare Dr, Long Prairie, MN 56347-2100

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Centracare Clinic — 782 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

Other providers in Long Prairie