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JAEDA KERIN ERTELT FNP-C
NPI 1063062693
Nurse Practitioner - Family in West Fargo, ND

Active since September 16, 2019PECOS Enrolled
726 13TH AVE E, WEST FARGO, ND 58078(701) 510-2010(844) 689-2048 Get Directions Write a Review

NPPES record last updated: March 11, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 11, 2026, Apr 11, 2025, May 11, 2021 and 1 more (4 updates tracked since 2019).

About Jaeda Kerin Ertelt Fnp-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JAEDA KERIN ERTELT FNP-C (NPI 1063062693) is an individual family provider in West Fargo, North Dakota, licensed in North Dakota (R36635) and active in the NPI registry since September 2019. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1063062693
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameJAEDA KERIN ERTELTCredential: FNP-C
Location Address726 13TH AVE EWest Fargo, ND 58078-3304
Mailing Address726 13th Ave EWest Fargo, ND 58078-3304 · (701) 510-2010 · Fax (844) 689-2048
Phone(701) 510-2010
Fax(844) 689-2048
Sole ProprietorNo
Enumeration DateSeptember 16, 2019
Last NPPES UpdateMarch 11, 20264 updates tracked since enumeration
NPPES CertifiedMarch 11, 2026
✔ NPI 1063062693 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in ND · R36635
726 13TH AVE E, West Fargo, ND 58078
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of North Dakota.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jaeda Kerin Ertelt Fnp-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
63 services28 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
36 services20 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
21 services15 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 58078 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$85.71 typical visit price
range $55.75 – $168.12
Typical copayment $21.42 (range $13.93 – $42.03)
Most-billed visit code 99203
Established Patient
$98.29 typical visit price
range $18.11 – $137.65
Typical copayment $24.57 (range $4.52 – $34.41)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. CRYSTAL ANN BOSTOW LIDDYCOAT MA, LAC, LPC
Counselor (Mental Health)
726 13TH AVE E
WEST FARGO, ND 58078
Cass County (971) 500-2661
CROSSOVER HEALTH MEDICAL GROUP
Specialist
726 13TH AVE E
WEST FARGO, ND 58078
Cass County (844) 398-3640

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jaeda Ertelt's NPI number?

The NPI number for Jaeda Ertelt is 1063062693. It was assigned to this individual provider in the NPPES registry on September 16, 2019.

Where is Jaeda Ertelt located?

Jaeda Ertelt practices at 726 13th Ave E, West Fargo, ND 58078. The listed phone number is (701) 510-2010.

What is Jaeda Ertelt's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Jaeda Ertelt enrolled in Medicare?

Yes. Jaeda Ertelt is registered in the Medicare PECOS enrollment system.

What insurance does Jaeda Ertelt accept?

Health plans from Blue Cross Blue Shield of North Dakota list Jaeda Ertelt as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jaeda Ertelt was last updated on March 11, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.