Marisa Jean Jergenson, RN, BSN, CADC is a medicare enrolled "Registered Nurse" provider in Fort Dodge, Iowa. She graduated from healthcare school in 2025 and has 1 years of diverse experience with area of expertise as Undefined Non-physician Type (specify). Her current practice location is
211 Avenue M W, Fort Dodge, Iowa. You can reach out to her office (for appointments etc.) via phone at
(515) 576-7261.
Marisa Jean Jergenson is licensed to practice in Iowa (license number 131852) and she also participates in the medicare program. She
may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1902482300.
Healthcare Provider's Profile
| Full Name | Marisa Jean Jergenson |
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| Gender | Female |
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| Speciality | Undefined Non-physician Type (specify) |
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| Experience | 1 Years |
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| Location | 211 Avenue M W, Fort Dodge, Iowa |
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| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Marisa Jean Jergenson graduated from medical school in 2025
NPI Data:
- NPI Number: 1902482300
- Provider Enumeration Date: 03/24/2021
- Last Update Date: 06/19/2023
Medicare PECOS Information:
- PECOS PAC ID: 6608362454
- Enrollment ID: I20251231000849
Medical Identifiers
Medical identifiers for Marisa Jean Jergenson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1902482300 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 21037 (Iowa) | Secondary |
| 163W00000X | Registered Nurse | 131852 (Iowa) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Marisa Jean Jergenson is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Marisa Jean Jergenson, RN, BSN, CADC
211 Avenue M W,
Fort Dodge, IA 50501-5789
Ph: (515) 576-7261 | Marisa Jean Jergenson, RN, BSN, CADC
211 Avenue M W,
Fort Dodge, IA 50501-5789
Ph: (515) 576-7261 |
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