NPIMap

Individual provider Active NPI

Jeffery J Temple, NP

  • Primary Care Nurse Practitioner
  • Aitkin, MN
National Provider Identifier
1356321467
Registry record updated Sep 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
0359861 Issued in MN
Practice address
200 Bunker Hill Dr
Aitkin, MN 56431-1865
Phone
(218) 927-2121
NPI assigned
Jan 17, 2006
Last updated
Sep 16, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X 0359861 MN Primary

Addresses

Primary practice location

200 Bunker Hill Dr
Aitkin, MN 56431-1865

Mailing address

111 Golf Course Rd
Ste 1
Grand Rapids, MN 55744-3526
Phone (218) 326-8749

Other practice location 1

111 Golf Course Rd
Ste 1
Grand Rapids, MN 55744-3526
Phone (218) 326-8749 ext. 15

Other identifiers 9

IdentifierTypeStateIssuer
41B60TEOtherMNBCBS
500026265OtherMNRAILROAD MEDICARE
849650100MedicaidMN
0106837OtherMNMEIDCA
NO10804OtherMNCHAMPUS
HP49668OtherMNHEALTH PARTNERS
849650100OtherMNITASCA MEDICAL CARE
143435OtherMNU CARE
982221028303OtherMNPREFERRED ONE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040427001431 MN Practitioner - Nurse Practitioner 2769479286 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of North Dakota School of Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Aitkin Community Hospital IncGroup PAC ID 4981514692, 96 clinicians

Practice addresses (Care Compare)

2 E Ctr Ave
McGregor, MN 55760-1433
Phone (218) 768-4011

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0359861MNMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Aitkin Community Hospital, Inc. CurrentSince Jan 27, 2024 Accepting new patients
Northern Itasca Hospital District CurrentSince Mar 1, 2014 Accepting new patients
Aitkin Community Hospital, Inc. CurrentSince Jan 27, 2024 Accepting new patients
Northern Pines Orthopaedic Clinic, P.a. PastSince Aug 16, 2004 Accepting new patients
Aitkin Community Hospital, Inc. Past Accepting new patients

Locations

200 Bunker Hill Dr
Aitkin, MN 56431
Phone (218) 927-2121

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.

Hospital & facility affiliations 7

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": "1137456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757980800000",
    "number": "1356321467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 GOLF COURSE RD",
            "address_2": "STE 1",
            "city": "GRAND RAPIDS",
            "state": "MN",
            "postal_code": "557443526",
            "telephone_number": "218-326-8749",
            "fax_number": "218-326-0400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 BUNKER HILL DR",
            "city": "AITKIN",
            "state": "MN",
            "postal_code": "564311865",
            "telephone_number": "218-927-2121"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "111 Golf Course Rd",
            "address_2": "Ste 1",
            "address_purpose": "LOCATION",
            "city": "Grand Rapids",
            "state": "MN",
            "postal_code": "557443526",
            "country_code": "US",
            "telephone_number": "218-326-8749 x15",
            "fax_number": "218-326-0400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TEMPLE",
        "first_name": "JEFFERY",
        "middle_name": "J",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-17",
        "last_updated": "2025-09-16",
        "certification_date": "2025-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "MN",
            "license": "0359861",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "41B60TE",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "500026265",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "849650100",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEIDCA",
            "identifier": "0106837",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHAMPUS",
            "identifier": "NO10804",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH PARTNERS",
            "identifier": "HP49668",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ITASCA MEDICAL CARE",
            "identifier": "849650100",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "U  CARE",
            "identifier": "143435",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED ONE",
            "identifier": "982221028303",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Aitkin, MN

Sources for this page

Verify at the official NPI Registry.