Individual provider Active NPI

Jinette Gappa Lais, APRN, CNP, DNP

  • Family Nurse Practitioner
  • Madelia, MN
National Provider Identifier
1083143259
Registry record updated Sep 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
5168 Issued in MN
Practice address
121 Drew Ave SE
Madelia, MN 56062-1841
Phone
(507) 642-3255
NPI assigned
Jun 9, 2017
Last updated
Sep 16, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 5168 MN Primary

Addresses

Primary practice location

121 Drew Ave SE
Madelia, MN 56062-1841

Mailing address

121 Drew Ave SE
Madelia, MN 56062-1841
Phone (507) 642-3255

Other practice location 1

1900 Sunrise Dr
Saint Peter, MN 56082-5376
Phone (507) 931-2200

Other practice location 2

100 State Ave
Faribault, MN 55021-6337
Phone (507) 334-3921

Other practice location 3

1230 E. Main St.
PO Box 8674
Mankato, MN 56002-8674
Phone (507) 625-1811

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170812000158 MN Practitioner - Nurse Practitioner 9133490980 Reassigns benefits to 10 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Madelia HealthGroup PAC ID 1254230816, 19 clinicians
Mankato Clinic LTDGroup PAC ID 5597677955, 243 clinicians

Practice addresses (Care Compare)

121 Drew Ave SE
Madelia, MN 56062-1841
Phone (507) 642-3255

1230 Main St E
PO Box 8674
Mankato, MN 56002-8674
Phone (507) 625-1811

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
5168MNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mayo Clinic CurrentSince Mar 1, 2020 Accepting new patients
Mayo Clinic Health System-Southwest Minnesota Region Current Accepting new patients
River's Edge Hospital & Clinic CurrentSince Nov 1, 2021 Accepting new patients
Allina Health System Current Accepting new patients
Mayo Clinic Health System-Southwest Minnesota Region CurrentSince Aug 1, 2017 Accepting new patients
Mayo Clinic Health System-Southwest Minnesota Region CurrentSince Aug 1, 2017 Accepting new patients
Mankato Clinic LTD CurrentSince Dec 1, 2024 Accepting new patients
Madelia Health CurrentSince Dec 1, 2025 Accepting new patients
Allina Health System CurrentSince Oct 1, 2024 Accepting new patients
Mayo Clinic CurrentSince Mar 1, 2020 Accepting new patients
Allina Health System CurrentSince Oct 1, 2024 Accepting new patients

Locations

440 Elm St E
Annandale, MN 55302
Phone (320) 682-5225

100 State Ave
Faribault, MN 55021
Phone (507) 334-3921

121 Drew Ave SE
Madelia, MN 56062
Phone (507) 642-3255

101 Martin Luther King Dr
Mankato, MN 56001
Phone (507) 385-6500

1025 Marsh St
Mankato, MN 56001
Phone (507) 345-2623

1230 E Main St
Mankato, MN 56001
Phone (507) 389-8502

2215 Park Ave
Minneapolis, MN 55404
Phone (612) 775-8800

2925 Chicago Ave
Minneapolis, MN 55407
Phone (612) 262-4813

301 2nd St NE
New Prague, MN 56071
Phone (952) 758-4431

200 1st St SW
Rochester, MN 55905
Phone (507) 266-4850

14655 Galaxie Ave
Saint Paul, MN 55124
Phone (952) 432-4141

1900 Sunrise Dr
Saint Peter, MN 56082
Phone (507) 931-2200

Interoperability endpoints

  • Direct secure messaging: jinettelais@mklt.allscriptsdirect.net

Organizations & group practices 12

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1496966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789516800000",
    "number": "1083143259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 DREW AVE SE",
            "city": "MADELIA",
            "state": "MN",
            "postal_code": "560621841",
            "telephone_number": "507-642-3255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 DREW AVE SE",
            "city": "MADELIA",
            "state": "MN",
            "postal_code": "560621841",
            "telephone_number": "507-642-3255"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1900 Sunrise Dr",
            "address_purpose": "LOCATION",
            "city": "Saint Peter",
            "state": "MN",
            "postal_code": "560825376",
            "country_code": "US",
            "telephone_number": "507-931-2200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "100 State Ave",
            "address_purpose": "LOCATION",
            "city": "Faribault",
            "state": "MN",
            "postal_code": "550216337",
            "country_code": "US",
            "telephone_number": "507-334-3921",
            "fax_number": "507-384-4622",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1230 E. Main St.",
            "address_2": "PO Box 8674",
            "address_purpose": "LOCATION",
            "city": "Mankato",
            "state": "MN",
            "postal_code": "560028674",
            "country_code": "US",
            "telephone_number": "507-625-1811",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LAIS",
        "first_name": "JINETTE",
        "middle_name": "GAPPA",
        "name_prefix": "Mrs.",
        "credential": "APRN, CNP, DNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-09",
        "last_updated": "2026-09-16",
        "certification_date": "2026-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MN",
            "license": "5168",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madelia, MN

Sources for this page

Verify at the official NPI Registry.