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

Mr. Mitchell Forrest Jaeger, PA-C

Individual provider Physician Assistant · NPI 1750173035

Mr. Mitchell Forrest Jaeger, PA-C is a Physician Assistant in Bloomington, Minnesota. Qualified in 2025, 1 year ago. Registered with an NPI since 2025.

Years since qualifying
1
In the registry since
2025
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

4300 Market Pte Dr St 100
Bloomington, MN 55435-5435
Phone: (952) 767-4574
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1750173035
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedMay 21, 2025
Last updated in NPPESJune 18, 2025
Certification dateJune 18, 2025
Mailing address6930 U. S. Highway 71, Willmar, MN 56201

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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