NPIMap

Individual provider Active NPI

Michael Jon Jesch, AGPCNP-BC

  • Nurse Practitioner
  • Mitchell, SD
National Provider Identifier
1295169290
Registry record updated Oct 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
CNP 1957 Issued in MN
Practice address
1900 Grassland Dr
Mitchell, SD 57301-6335
Phone
(605) 995-4940
Fax
(605) 995-4942
NPI assigned
Aug 26, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X CNP 1957 MN Primary
Nurse Practitioner 363L00000X R32294 ND

Addresses

Primary practice location

1900 Grassland Dr
Mitchell, SD 57301-6335

Mailing address

166 19TH St S Ste 101
Sartell, MN 56377-2154
Phone (320) 230-7788

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN, SD2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20160112000071 MN Practitioner - Nurse Practitioner 5294964151 Reassigns benefits to 1 organization
I20250814001345 SD Practitioner - Nurse Practitioner 5294964151 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Avera Queen of PeaceGroup PAC ID 9335050806, 122 clinicians

Practice addresses (Care Compare)

525 N Foster St
Mitchell, SD 57301-2966
Phone (605) 995-2234

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
CNP 1957MNMDNurse Practitioner
R32294NDMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Avera Queen of Peace CurrentSince Jun 11, 2025 Accepting new patients
Avera Queen of Peace CurrentSince Jun 11, 2025 Accepting new patients
Center for Pain Management, P.a. CurrentSince May 1, 2018 Accepting new patients
Rural Health Care, Inc CurrentSince Jun 11, 2025 Accepting new patients
Rural Health Care, Inc CurrentSince Jun 11, 2025 Accepting new patients
Avera Queen of Peace Current Accepting new patients
Rural Health Care, Inc. Current Accepting new patients
Avera Queen of Peace Past Accepting new patients

Locations

15620 Edgewood Dr
Ste 200
Brainerd, MN 56401
Phone (218) 270-3111

804 23rd St S
Sartell, MN 56377
Phone (320) 230-7788

166 19th St S
Ste 101
Sartell, MN 56377
Phone (320) 230-7788

1900 Grassland Dr
Mitchell, SD 57301
Phone (605) 655-1220

1900 Grassland Dr
Ste 103
Mitchell, SD 57301
Phone (605) 995-4900

525 N Foster St
Mitchell, SD 57301
Phone (605) 995-2000

Interoperability endpoints

  • Direct secure messaging: michael.jesch@avera.sdhealthlink.net

Organizations & group practices 9

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

Hospital & facility affiliations 24

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

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1377475200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761868800000",
    "number": "1295169290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "166 19TH ST S STE 101",
            "city": "SARTELL",
            "state": "MN",
            "postal_code": "563772154",
            "telephone_number": "320-230-7788",
            "fax_number": "320-230-7789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 GRASSLAND DR",
            "city": "MITCHELL",
            "state": "SD",
            "postal_code": "573016335",
            "telephone_number": "605-995-4940",
            "fax_number": "605-995-4942"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JESCH",
        "first_name": "MICHAEL",
        "middle_name": "JON",
        "credential": "AGPCNP-BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-08-26",
        "last_updated": "2025-10-31",
        "certification_date": "2025-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MN",
            "license": "CNP 1957",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "ND",
            "license": "R32294",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mitchell, SD

Sources for this page

Verify at the official NPI Registry.