Brayden Jelinek
Individual provider Active NPI Registered Nurse · Lidgerwood, ND
NPI 1124970116 · NPPES record last updated Feb 11, 2026
Key facts
- NPI
- 1124970116
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- 204013 (ND)
- Practice address
- 8820 160TH Ave SE
Lidgerwood, ND 58053-9624 - Phone
- (701) 640-5464
- NPI assigned
- Feb 11, 2026
- Sex
- Unspecified or another gender identity
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 204013 | ND | MD | Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 204013 | ND | Yes |
Addresses
Primary practice location
8820 160TH Ave SE
Lidgerwood, ND 58053-9624
Mailing address
8820 160TH Ave SE
Lidgerwood, ND 58053-9624
Phone (701) 640-5464
Other providers in Lidgerwood, ND
- Breanna Bischoff PC
- Dakota Estates Incorporated
- Holly Lynn Frolek
- Raymond Daniel Green
- Kelly Honl
- Heather Kraemer
- Pam Kraemer
- Trilby Lawrenson
- Lidgerwood Dental Office
- Lidgerwood Rural Ambulance Service
All providers in Lidgerwood, ND · Registered Nurse in North Dakota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 11, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.