Individual provider Active NPI

Jordan Mittet, FNP

  • Nurse Practitioner
  • Saint Francis, MN
National Provider Identifier
1437019627
Registry record updated Nov 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
13601 Issued in MN
Practice address
22978 Butterfield Dr NW
Saint Francis, MN 55070-7710
Phone
(763) 230-9248
NPI assigned
Nov 12, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 13601 MN Primary

Addresses

Primary practice location

22978 Butterfield Dr NW
Saint Francis, MN 55070-7710

Mailing address

22978 Butterfield Dr NW
Saint Francis, MN 55070-7710
Phone (763) 230-9248

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
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

Enrollment IDStateProvider typePAC IDDetails
I20251204003569 MN Order and Referring Only - Nurse Practitioner 0244723542

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

6452 City W Pkwy
Eden Prairie, MN 55344-3245

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
13601MNMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
New Kingdom Pediatrics LLC CurrentSince Jun 27, 2020 Accepting new patients

Locations

10904 57th St NE
Ste 106
Albertville, MN 55301
Phone (763) 497-0733

510 22nd Ave E
Ste 103
Alexandria, MN 56308
Phone (952) 999-0333

10904 Baltimore St NE
Blaine, MN 55449

6452 City West Pkwy
Eden Prairie, MN 55344
Phone (952) 999-0333

38500 Tanger Dr
North Branch, MN 55056

38500 Tanger Dr
Ste 106
North Branch, MN 55056
Phone (952) 999-0333

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1762905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762905600000",
    "number": "1437019627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22978 BUTTERFIELD DR NW",
            "city": "SAINT FRANCIS",
            "state": "MN",
            "postal_code": "550707710",
            "telephone_number": "763-230-9248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22978 BUTTERFIELD DR NW",
            "city": "SAINT FRANCIS",
            "state": "MN",
            "postal_code": "550707710",
            "telephone_number": "763-230-9248"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITTET",
        "first_name": "JORDAN",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-11-12",
        "last_updated": "2025-11-12",
        "certification_date": "2025-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MN",
            "license": "13601",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Francis, MN

Sources for this page

Verify at the official NPI Registry.