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

Micah Jon Nieboer, MD

Individual provider Orthopaedic Surgery Physician · NPI 1336702224

Micah Jon Nieboer, MD is an Orthopedic Surgery in Rochester, Minnesota. Graduated from Loyola University of Chicago, Stritch School of Medicine in 2019, 7 years ago. Practices with Mayo Clinic, a 4,796-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Florida and Minnesota.

Years since qualifying
7
Trained at
Loyola University of Chicago, Stritch School of Medicine
Licensed in
FL, MN
In the registry since
2019
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

200 1st St SW
Rochester, MN 55905-2305
Phone: (507) 284-2511
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 5901 E Fowler Ave Ste 100, Temple Terrace, FL 33617-2305 — (813) 978-9700

Specialties & licences

Orthopaedic Surgery Physician (primary) Taxonomy 207X00000X · Licence 68395 (MN)
Orthopaedic Surgery Physician Taxonomy 207X00000X · Licence 30229 (MN)
Orthopaedic Surgery Physician Taxonomy 207X00000X · Licence ME168209 (FL)

Record details

NPI number1336702224
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 17, 2019
Last updated in NPPESJuly 30, 2025
Certification dateJuly 30, 2025

Medicare enrollment

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

Medicare specialtyORTHOPEDIC SURGERY
Medical schoolLOYOLA UNIVERSITY OF CHICAGO, STRITCH SCHOOL OF MEDICINE
Graduated 2019 (7 years in practice)
Group practice Mayo Clinic — 4796 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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