MR. JEREMY D NIETZ PA-C
NPI 1780655472
Physician Assistant - Medical in Minneapolis, MN

Active since January 30, 2006
1 VETERANS DR, MINNEAPOLIS, MN 55417(612) 725-2000 Get Directions Write a Review

NPPES record last updated: September 30, 2010. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Mr. Jeremy D Nietz Pa-c NPPES

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

MR. JEREMY D NIETZ PA-C (NPI 1780655472) is an individual medical provider in Minneapolis, Minnesota, licensed in Minnesota (9489) and active in the NPI registry since January 2006.

NPPES Registry Identity

NPI1780655472
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameMR. JEREMY D NIETZCredential: PA-C
Location Address1 VETERANS DRMinneapolis, MN 55417-2309
Mailing Address1 Veterans DrMinneapolis, MN 55417-2309 · (612) 725-2000
Sole ProprietorNo
Enumeration DateJanuary 30, 2006
Last NPPES UpdateSeptember 30, 2010
NPI 1780655472 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License Licensed in MN · 9489
Also ListedPhysician Assistant · SurgicalTaxonomy 363AS0400X · License 9489 (MN)
1 VETERANS DR, Minneapolis, MN 55417

Other Identifiers 2

Medicare UPINP02705MN
Medicare ID-Type Unspecified970000713MN

Other Providers at the Same Location NPPES 20

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

Psychologist (Clinical)
1 VETERANS DR
MINNEAPOLIS, MN 55417
Internal Medicine
1 VETERANS DR
MINNEAPOLIS, MN 55417
Social Worker
1 VETERANS DR
MINNEAPOLIS, MN 55417
Family Medicine (Hospice and Palliative Medicine)
1 VETERANS DR
MINNEAPOLIS, MN 55417
Specialist/Technologist (Rehabilitation, Blind)
1 VETERANS DR
MINNEAPOLIS, MN 55417
Registered Nurse
1 VETERANS DR
MINNEAPOLIS, MN 55417
Registered Nurse (Ambulatory Care)
1 VETERANS DR
MINNEAPOLIS, MN 55417
Registered Nurse
1 VETERANS DR
MINNEAPOLIS, MN 55417

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 Jeremy Nietz's NPI number?

The NPI number for Jeremy Nietz is 1780655472. It was assigned to this individual provider in the NPPES registry on January 30, 2006.

Where is Jeremy Nietz located?

Jeremy Nietz practices at 1 Veterans Dr, Minneapolis, MN 55417. The listed phone number is (612) 725-2000.

What is Jeremy Nietz's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

When was this NPI record last updated?

The NPPES record for Jeremy Nietz was last updated on September 30, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years 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.