NPIMap

Individual provider Active NPI

Jackie Lea Lindberg, DNP, FNP-C

  • Nurse Practitioner
  • Cloquet, MN
National Provider Identifier
1629604087
Registry record updated Oct 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
8742 Issued in MN
Practice address
417 Skyline Blvd
Cloquet, MN 55720-1164
Phone
(218) 879-1271
Fax
(218) 879-9617
NPI assigned
Mar 18, 2020
Last updated
Oct 23, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2026

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 8742 MN Primary
Family Nurse Practitioner 363LF0000X 8742 MN

Addresses

Primary practice location

417 Skyline Blvd
Cloquet, MN 55720-1164

Mailing address

417 Skyline Blvd
Cloquet, MN 55720-1164
Phone (218) 879-1271

Other practice location 1

1430 North Hwy
Jackson, MN 56143-1093
Phone (507) 847-2200

Other practice location 2

900 Hilligoss Blvd SE
Fosston, MN 56542-1599
Phone (218) 435-1212

Other names 1

  • Jackie Lea Hillstrom Former name

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address Jackie.lindberg@rcll.eclinicaldirectplus.com
Other URL Cloquet Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN, ND2 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
I20220121002388 MN Practitioner - Nurse Practitioner 7315339488 Reassigns benefits to 11 organizations
I20251017001201 ND Practitioner - Nurse Practitioner 7315339488 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lisbon Area Health ServicesGroup PAC ID 4486562873, shared by 3 NPIs, 9 clinicians

Practice addresses (Care Compare)

905 Main St
Lisbon, ND 58054-0353
Phone (701) 683-6400

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
8742MNMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Community Memorial Hospital Association CurrentSince Jun 1, 2022 Accepting new patients
First Care Medical Services CurrentSince May 3, 2024 Accepting new patients
Lisbon Area Health Services CurrentSince Oct 11, 2025 Accepting new patients
Mercy Hospital CurrentSince Oct 11, 2025 Accepting new patients
Sanford Health of Northern Minnesota CurrentSince Feb 27, 2025 Accepting new patients
Mercy Hospital of Valley City CurrentSince Oct 11, 2025 Accepting new patients
First Care Medical Services CurrentSince May 3, 2024 Accepting new patients
Lisbon Area Health Services CurrentSince Oct 11, 2025 Accepting new patients
Graceville Health Center CurrentSince Jan 1, 2026 Accepting new patients
Sanford Health of Northern Minnesota Current Accepting new patients
Sanford Health of Northern Minnesota CurrentSince Feb 27, 2025 Accepting new patients
Lisbon Area Health Services CurrentSince Oct 11, 2025 Accepting new patients
Mercy Hospital of Valley City CurrentSince Oct 11, 2025 Accepting new patients
Graceville Health Center CurrentSince Jan 1, 2026 Accepting new patients

Locations

3265 Solutions Ctr
Chicago, IL 60677

3276 Solutions Ctr
Chicago, IL 60677

1656 Central St W
Bagley, MN 56621
Phone (218) 694-2384

1611 Anne St NW
Bemidji, MN 56601
Phone (218) 333-2020

417 Skyline Blvd
Cloquet, MN 55720
Phone (218) 879-1271

512 Skyline Blvd
Cloquet, MN 55720
Phone (218) 878-7207

1027 Washington Ave
Detroit Lakes, MN 56501
Phone (218) 844-2300

400 E 3rd St
Duluth, MN 55805
Phone (218) 722-8364

900 Hilligoss Blvd SE
Fosston, MN 56542
Phone (218) 435-1133

570 Chautauqua Blvd
Valley City, ND 58072
Phone (701) 845-0440

Interoperability endpoints

  • Direct secure messaging: jackie.lindberg@rcll.eclinicaldirectplus.com

Organizations & group practices 19

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.

View all 19

Hospital & facility affiliations 30

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

View all 30

NPI Registry JSON

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

{
    "created_epoch": "1584489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1792713600000",
    "number": "1629604087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "417 SKYLINE BLVD",
            "city": "CLOQUET",
            "state": "MN",
            "postal_code": "557201164",
            "telephone_number": "218-879-1271",
            "fax_number": "218-879-9617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "417 SKYLINE BLVD",
            "city": "CLOQUET",
            "state": "MN",
            "postal_code": "557201164",
            "telephone_number": "218-879-1271",
            "fax_number": "218-879-9617"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1430 North Hwy",
            "address_purpose": "LOCATION",
            "city": "Jackson",
            "state": "MN",
            "postal_code": "561431093",
            "country_code": "US",
            "telephone_number": "507-847-2200",
            "fax_number": "507-847-3728",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "900 Hilligoss Blvd SE",
            "address_purpose": "LOCATION",
            "city": "Fosston",
            "state": "MN",
            "postal_code": "565421599",
            "country_code": "US",
            "telephone_number": "218-435-1212",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LINDBERG",
        "first_name": "JACKIE",
        "middle_name": "LEA",
        "name_prefix": "Ms.",
        "credential": "DNP, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-18",
        "last_updated": "2026-10-23",
        "certification_date": "2026-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MN",
            "license": "8742",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MN",
            "license": "8742",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Jackie.lindberg@rcll.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "417 Skyline Blvd",
            "city": "Cloquet",
            "state": "MN",
            "country_code": "US",
            "postal_code": "557201164",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Cloquet",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "706 26th St",
            "city": "Cloquet",
            "state": "MN",
            "country_code": "US",
            "postal_code": "557202726",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "JACKIE",
            "last_name": "HILLSTROM",
            "middle_name": "LEA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Cloquet, MN

Sources for this page

Verify at the official NPI Registry.