JACK A FELLAND (MD) – Family Medicine Physician, NPI 1376503029

JACK A FELLAND (MD) is a healthcare provider. based in Owatonna, Minnesota. specializing in FAMILY PRACTICE. They hold the professional credentials MD. They hold a License No. 41613 (MN). The NPI Number for JACK A FELLAND (MD) is 1376503029

Main info

Male
30 Years Of Experience
Accepts Medicare Assignment
Name
JACK A FELLAND (MD)
NPI
1376503029
Phone
(507) 451-1120
Address
2200 NW 26TH ST
Enumeration Date
26 March 2006
Last Update Date
10 March 2021

Doctor Profile

Medical School Name
UNIVERSITY OF MINNESOTA MEDICAL SCHOOL
Secondary Phone
5076461494
Graduation Year
1996 (30 years ago)
PAC ID
2062557994
Group Practice PAC ID
2567372998
Professional Enrollment ID
I20100303000898
Address ID
MN550571498NO2000XAVEX300

Contacts

Secure Messaging
fhmclakeville@direct.northfieldhospital.md
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness85
Years active:20State licenses:1Other namesUpdated within 12 months

3,075 FAMILY PRACTICE in MN

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Provider Addresses for JACK A FELLAND (MD)

  • Northwest 26th Street, Owatonna, Steele County, Minnesota, 55060, United States

    OWATONNA, MN 550605503

    Phone: (507) 451-1120

    Fax: (507) 444-6287

    Mailing address matches the actual address.

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: 2010-03-03

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

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
I20100303000898IFamily PracticeMNTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
36415Insertion of needle into vein for collection of blood sample243103$0
99214Established patient office or other outpatient visit, 30-39 minutes16884$0
85025Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count14174$0
99490Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month10624$0
99439Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month9018$0
View full utilization report →

Insurance plans in this area (ZIP 55060)

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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: 2567372998View full group profile
NameSpecialtyState
Addiction MedicineMN
Orthopedic SurgeryNE
Certified Registered Nurse Anesthetist (Crna)MN
-MN
Orthopedic SurgeryMN
Certified Registered Nurse Anesthetist (Crna)KY
O B S T E T R I C S/ G Y N E C O L O G YMN
Certified Nurse Midwife (Cnm)MN
Physician AssistantMN
O T O L A R Y N G O L O G YMN

Reviews

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Frequently asked questions

Can I use this page to confirm JACK A FELLAND (MD)'s NPI?
Yes. JACK A FELLAND (MD) is listed with NPI 1376503029 in the public NPI dataset.
Is JACK A FELLAND (MD) still practicing?
JACK A FELLAND (MD) is currently listed as active in the public NPI registry.
What is JACK A FELLAND (MD) best known for clinically?
Directory data describes JACK A FELLAND (MD) with Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Where is JACK A FELLAND (MD) based?
JACK A FELLAND (MD) is tied to Owatonna, Minnesota in the data we show; additional addresses may exist on the full record.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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