Individual provider Active NPI

Jagila Minso, MD, MPH, FAAP

  • Student in an Organized Health Care Education/Training Program
  • Bismarck, ND
National Provider Identifier
1336569185
Registry record updated Jul 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
Practice address
300 N 7TH St
Bismarck, ND 58501-4439
Phone
(701) 323-6000
NPI assigned
Apr 20, 2014
Last updated
Jul 22, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NU Primary
Pediatric Critical Care Medicine Physician 2080P0203X 14527 ND
Pediatric Hospice and Palliative Medicine Physician 2080H0002X 80124 MN

Addresses

Primary practice location

300 N 7TH St
Bismarck, ND 58501-4439

Mailing address

2220 N Druid Hills Rd NE
Brookhaven, GA 30329-3117

Other practice location 1

2220 N Druid Hills Rd NE
Atlanta, GA 30329-3117
Phone (404) 785-5437

Other names 1

  • Dr. Jagila Minso Wesley Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ND, NY2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20170808001204 ND Practitioner - Pediatric MedicinePractitioner - Critical Care (Intensivists) 0143591206 Reassigns benefits to 2 organizations
I20220419003072 NY Practitioner - Pediatric Medicine 0143591206 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Sanford Medical Center Fargo CurrentSince Jul 13, 2017 Accepting new patients
Sanford Medical Center Fargo CurrentSince Jul 13, 2017 Accepting new patients
The Brookdale Hospital Medical Center CurrentSince Mar 1, 2022 Accepting new patients
Brookdale Hospital Medical Center CurrentSince Mar 1, 2022 Accepting new patients
Sanford Bismarck CurrentSince Jul 13, 2019 Accepting new patients

Locations

2603 E Broadway Ave
Bismarck, ND 58501
Phone (701) 323-5222

300 N 7th St
Bismarck, ND 58501
Phone (701) 323-6153

3318 N 14th St
Bismarck, ND 58503
Phone (701) 323-8300

2400 32nd Ave S
Fargo, ND 58103
Phone (701) 234-8800

5225 23rd Ave S
Fargo, ND 58104
Phone (701) 234-5933

801 Broadway N
Fargo, ND 58102
Phone (701) 234-2371

1220 Sheyenne St
West Fargo, ND 58078
Phone (701) 234-4445

1 Brookdale Plz
Brooklyn, NY 11212
Phone (718) 240-5212

1235 Linden Blvd
Fl 2
Brooklyn, NY 11212
Phone (718) 240-7143

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1397952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784678400000",
    "number": "1336569185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2220 N DRUID HILLS RD NE",
            "city": "BROOKHAVEN",
            "state": "GA",
            "postal_code": "303293117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 N 7TH ST",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585014439",
            "telephone_number": "701-323-6000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2220 N Druid Hills Rd NE",
            "address_purpose": "LOCATION",
            "city": "Atlanta",
            "state": "GA",
            "postal_code": "303293117",
            "country_code": "US",
            "telephone_number": "404-785-5437",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MINSO",
        "first_name": "JAGILA",
        "name_prefix": "Dr.",
        "credential": "MD, MPH, FAAP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-04-20",
        "last_updated": "2026-07-22",
        "certification_date": "2026-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "2080P0203X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Critical Care Medicine",
            "state": "ND",
            "license": "14527",
            "primary": false
        },
        {
            "code": "2080H0002X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Hospice and Palliative Medicine",
            "state": "MN",
            "license": "80124",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JAGILA",
            "last_name": "WESLEY",
            "middle_name": "MINSO",
            "prefix": "DR.",
            "credential": "MD., MPH",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Bismarck, ND

Sources for this page

Verify at the official NPI Registry.