Jake Neal Tarnowski, MD

Emergency Medicine in Princeton, MN. Individual provider (NPI-1).

NPI number1922597707

StatusActive

Last updated in NPPESApr 30, 2024

Details

NPI: 1922597707
Entity type: Individual (NPI-1)
Name: Jake Neal Tarnowski
Credential: MD
Sex: Male
Sole proprietor: No
Enumeration date: May 7, 2018
Certification date: Apr 30, 2024
Last updated: Apr 30, 2024

Medicare and OIG

Medicare enrolled (PECOS): Yes · PRACTITIONER - EMERGENCY MEDICINE
Can order and refer: Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice Yes
OIG exclusion list: This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
207P00000X	Emergency Medicine	69788	MN	Yes
390200000X	Student in an Organized Health Care Education/Training Program	–	–

Practice location

911 Northland Dr
Princeton, MN 55371

Phone 763-389-1313

Mailing address

911 Northland Dr
Princeton, MN 55371-2172

Phone 763-389-1313

Other practice locations

27351 Dequindre Rd
Madison Heights, MI 48071-3487

Phone 248-967-7661 · Fax 248-967-7876

1300 Anne St Nw
Bemidji, MN 56601-5103

Phone 218-333-5000

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Emergency Medicine Physician providers in Princeton, MN

All 7 Emergency Medicine Physician providers in Princeton · All 294 providers in Princeton

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