Healthcare Provider Details

I. General information

NPI: 1225752819
Provider Name (Legal Business Name): JENNA KARELS CNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/28/2022
Last Update Date: 05/27/2026
Certification Date: 05/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

900 2ND AVE
MADISON MN
56256-1099
US

IV. Provider business mailing address

301 FLYNN DR
MILBANK SD
57252-1508
US

V. Phone/Fax

Practice location:
  • Phone: 320-598-7551
  • Fax: 320-598-7553
Mailing address:
  • Phone: 320-304-5873
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number9709
License Number StateMN
# 2
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberCP002844
License Number StateSD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: