Jaime Rae Mattson, FNP-C

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

R30910 Issued in ND

Practice address

1319 W 11TH St
Grafton, ND 58237-2138

Phone

(701) 352-4059

Fax

(701) 352-9290

NPI assigned

Jul 12, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in ND

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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

{
    "created_epoch": "1310428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766102400000",
    "number": "1306134309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1458 WESTERN AVE",
            "city": "GRAFTON",
            "state": "ND",
            "postal_code": "582371879",
            "telephone_number": "701-360-0697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1319 W 11TH ST",
            "city": "GRAFTON",
            "state": "ND",
            "postal_code": "582372138",
            "telephone_number": "701-352-4059",
            "fax_number": "701-352-9290"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "701 W 6th St",
            "address_purpose": "LOCATION",
            "city": "Grafton",
            "state": "ND",
            "postal_code": "582371379",
            "country_code": "US",
            "telephone_number": "701-352-4048",
            "fax_number": "701-352-0268",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MATTSON",
        "first_name": "JAIME",
        "middle_name": "RAE",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-07-12",
        "last_updated": "2025-12-19",
        "certification_date": "2025-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "ND",
            "license": "R30910",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Jackie Midgarden, SLP
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• All providers in Grafton, ND
• Nurse Practitioner in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.