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

Jeffery Ja Enstad, RNCNP

Individual provider Family Nurse Practitioner · NPI 1104885888

Jeffery Ja Enstad, RNCNP is a Nurse Practitioner in Willmar, Minnesota. Qualified in 1998, 28 years ago. Practices with Centracare Clinic Southwest LLC, a 172-clinician group and accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
28
Licensed in
MN
In the registry since
2006
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

101 Willmar Ave SW
Willmar, MN 56201
Phone: (320) 231-5000
Fax: (320) 231-5067
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence R 123314 8 (MN)

Record details

NPI number1104885888
Entity typeIndividual (Type 1)
GenderMale
Credentials RNCNP
Sole proprietorNo
NPI enumeratedMarch 21, 2006
Last updated in NPPESJuly 13, 2026

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 1998 (28 years in practice)
Group practice Centracare Clinic Southwest Llc — 172 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Willmar