MS. JACLYN ANN KOSTECKA PA-C
NPI 1972103000
Physician Assistant in Brainerd, MN

Q: What is Jaclyn Kostecka's NPI number?

The NPI number for Jaclyn Kostecka is 1972103000. It was assigned to this individual provider in the NPPES registry on October 28, 2020. The provider is also known as Jaclyn Ann Bautch Pa-C.

Q: What is Jaclyn Kostecka's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Jaclyn Kostecka was last updated on December 6, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since October 28, 2020PECOS EnrolledAccepts Medicare Assignment

2014 S 6TH ST, BRAINERD, MN 56401(218) 829-7812 Get Directions Write a Review

NPPES record last updated: December 6, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 6, 2022, Oct 28, 2020 (2 updates tracked since 2020).

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About Ms. Jaclyn Ann Kostecka Pa-c NPPES

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

MS. JACLYN ANN KOSTECKA PA-C (NPI 1972103000) is an individual physician assistant in Brainerd, Minnesota and active in the NPI registry since October 2020. She is enrolled in Medicare PECOS, is affiliated with Essentia Health St Joseph's Medical Center, and maintains a secondary practice location in Saint Augusta.

NPPES Registry Identity

NPI1972103000

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameMS. JACLYN ANN KOSTECKACredential: PA-C

Location Address2014 S 6TH STBrainerd, MN 56401-4529

Mailing Address10516 Gull Point RdEast Gull Lake, MN 56401-3281 · (320) 828-0972

Phone(218) 829-7812

Sole ProprietorYes

Medical School CMSOtherGraduated 2021

Enumeration DateOctober 28, 2020

Last NPPES UpdateDecember 6, 20222 updates tracked since enumeration

NPPES CertifiedDecember 6, 2022

✔ NPI 1972103000 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

2014 S 6TH ST, Brainerd, MN 56401

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Other Names 1

Former Name (1)Jaclyn Ann Bautch Pa-c

Secondary Practice Location 1

Location 124721 State Highway 15Saint Augusta, MN 56301-9211 · Phone (320) 828-0972

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica, Sanford Health Plan.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Ms. Jaclyn Ann Kostecka Pa-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3274920103

PECOS Enrollment IDI20220425000914

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 7

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 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.

31 services24 patients

Replacement of thigh bone and hip joint with prosthesis 27130

This procedure, known as hip arthroplasty, involves replacing your damaged thigh bone and hip joint with artificial parts, called a prosthesis. It helps relieve pain, improve mobility, and enhance your quality of life.

18 services18 patients

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.

14 services14 patients

Aspiration and/or injection of fluid from large joint 20610

This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.

13 services12 patients

X-ray of shoulder, minimum of 2 views 73030

An X-ray of the shoulder, with a minimum of 2 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of your shoulder bones. This helps in diagnosing conditions like fractures, arthritis, or other abnormalities. The procedure is quick and painless.

13 services13 patients

Replacement of knee joint, both sides of knee 27447

A bilateral knee joint replacement is a procedure where the damaged parts of both your knee joints are replaced with artificial parts. It aims to relieve pain and improve mobility. The process involves a surgical operation under anesthesia.

12 services11 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Essentia Health St Joseph's Medical Center

Acute Care Hospitals · Brainerd, MN

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number240075

Location523 North 3rd StreetBrainerd, MN 56401 · Crow Wing County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 56401 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

$85.82 typical visit price

range $56.00 – $168.28

Typical copayment $21.45 (range $14.00 – $42.07)

Most-billed visit code 99203

Established Patient

$69.74 typical visit price

range $18.32 – $138.04

Typical copayment $17.43 (range $4.58 – $34.51)

Most-billed visit code 99213

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 18

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

IAN A SHIELDS PA-C

Physician Assistant