JODENE LYNN NESTANDE (PT) – Physical Therapist, NPI 1396045373

JODENE LYNN NESTANDE (PT) is a healthcare provider. based in Saint cloud, Minnesota. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials PT. They hold a License No. 8632 (MN). The NPI Number for JODENE LYNN NESTANDE (PT) is 1396045373

Main info

Female
16 Years Of Experience
Accepts Medicare Assignment
Name
JODENE LYNN NESTANDE (PT)
NPI
1396045373
Phone
(320) 654-9838
Address
1521 NORTHWAY DR
Enumeration Date
25 October 2010
Last Update Date
21 November 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7635951300
Graduation Year
2010 (16 years ago)
PAC ID
5395926273
Group Practice PAC ID
4486552593
Professional Enrollment ID
I20110224001015
Address ID
MN553769711SA601XXWXXX401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:15State licenses:1Digital endpointsOther names

2,109 PHYSICAL THERAPIST IN PRIVATE PRACTICE in MN

Provider Addresses for JODENE LYNN NESTANDE (PT)

  • 1521 NORTHWAY DR

    SUITE #116

    SAINT CLOUD, MN 563034489

    Phone: (320) 654-9838

    Fax: (320) 654-0981

    Type: Mailing

  • 1939 MINNEHAHA AVE W STE 300

    SAINT PAUL, MN 551041033

    Phone: (651) 748-4338

    Fax: (651) 748-2892

    Type: Mailing

  • 601 CENTRAL AVE W STE 102

    SAINT MICHAEL, MN 55376

    Phone: (763) 595-1300

    Fax: (763) 276-1190

    Type: Location

  • 7581 9TH ST N STE 100

    OAKDALE, MN 551286635

    Phone: (651) 748-4338

    Fax: (651) 748-2892

    Type: Mailing

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: 2011-02-24

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
I20110224001015IPhysical Therapist In Private 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.

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

Insurance plans in this area (ZIP 56303)

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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: 4486552593View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeMN
Physical Therapist In Private PracticeMN
Physical Therapist In Private PracticeMN
Physical Therapist In Private PracticeMN
-WI
Physical Therapist In Private PracticeMN
Physical Therapist In Private PracticeMN
-MN
-MN
-MN

Reviews

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Frequently asked questions

What is the registry number for JODENE LYNN NESTANDE (PT)?
The registry entry for JODENE LYNN NESTANDE (PT) shows NPI 1396045373.
Quick check: is JODENE LYNN NESTANDE (PT) active?
Public NPPES data shows JODENE LYNN NESTANDE (PT) with an active NPI status right now.
What type of care does JODENE LYNN NESTANDE (PT) provide?
JODENE LYNN NESTANDE (PT)'s profile centers on Physical Therapist. Clinical services aligned with this taxonomy classification.
Which community is linked to JODENE LYNN NESTANDE (PT)?
JODENE LYNN NESTANDE (PT) shows a connection to Saint Cloud, Minnesota in registry-derived data.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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