MICHAEL JON JESCH (AGPCNP-BC) – Nurse Practitioner, NPI 1295169290

MICHAEL JON JESCH (AGPCNP-BC) is a healthcare provider. based in Sartell, Minnesota. specializing in NURSE PRACTITIONER. They hold the professional credentials AGPCNP-BC. They hold a License No. CNP 1957 (MN). The NPI Number for MICHAEL JON JESCH (AGPCNP-BC) is 1295169290

Main info

Male
20 Years Of Experience
Accepts Medicare Assignment
Name
MICHAEL JON JESCH (AGPCNP-BC)
NPI
1295169290
Phone
(320) 230-7788
Address
166 19TH ST S STE 101
Enumeration Date
26 August 2013
Last Update Date
31 October 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6059952000
Graduation Year
2006 (20 years ago)
PAC ID
5294964151
Group Practice PAC ID
9335050806
Professional Enrollment ID
I20250814001345
Address ID
SD573012966MI525XXSTXX401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience57
Completeness85
Years active:12State licenses:2Digital endpointsOther names

5,748 NURSE PRACTITIONER in MN

Provider Addresses for MICHAEL JON JESCH (AGPCNP-BC)

  • 166 19TH ST S STE 101

    SARTELL, MN 563772154

    Phone: (320) 230-7788

    Fax: (320) 230-7789

    Type: Location

  • 1900 GRASSLAND DR

    MITCHELL, SD 573016335

    Phone: (605) 995-4940

    Fax: (605) 995-4942

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-08-14

PECOS data refreshed: 2026-06-15

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20160112000071INurse PractitionerMNTBD
I20250814001345INurse PractitionerSDTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 56377)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9335050806View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)SD
P O D I A T R YIA
-SD
Physical Therapist In Private PracticeSD
-SD
Physician AssistantSD
Physical Therapist In Private PracticeSD
-MO
Certified Registered Nurse Anesthetist (Crna)ND
Nurse PractitionerSD

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Frequently asked questions

What is MICHAEL JON JESCH (AGPCNP-BC)'s NPI number?
MICHAEL JON JESCH (AGPCNP-BC)'s NPI is 1295169290 — the number used across U.S. healthcare to identify this provider.
Would MICHAEL JON JESCH (AGPCNP-BC) appear as active to a payer?
You can treat MICHAEL JON JESCH (AGPCNP-BC) as active for directory purposes; confirm clinical privileges separately.
How would a patient describe MICHAEL JON JESCH (AGPCNP-BC)'s focus?
For MICHAEL JON JESCH (AGPCNP-BC), the primary taxonomy reads as Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where in Minnesota is MICHAEL JON JESCH (AGPCNP-BC) registered?
Use Sartell, Minnesota as the headline location for MICHAEL JON JESCH (AGPCNP-BC) here.
When was this NPI issued?
Enumeration for MICHAEL JON JESCH (AGPCNP-BC) is noted as August 26, 2013 where the registry provides it.