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

MS. Jaclyn Ann Kostecka, PA-C

Individual provider Physician Assistant · NPI 1972103000

MS. Jaclyn Ann Kostecka, PA-C is a Physician Assistant in Brainerd, Minnesota. Qualified in 2021, 5 years ago. Practices with St Josephs Medical Center, a 240-clinician group, works from 2 locations and accepts Medicare assignment.

Years since qualifying
5
In the registry since
2020
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

2014 S 6th St
Brainerd, MN 56401-4529
Phone: (218) 829-7812
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Additional practice locations (1)

  • 24721 State Highway 15, Saint Augusta, MN 56301-9211 — (320) 828-0972

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1972103000
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorYes
NPI enumeratedOctober 28, 2020
Last updated in NPPESDecember 6, 2022
Certification dateDecember 6, 2022

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice St Josephs Medical Center — 240 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in Brainerd