| Mrs Jaclyn Susan Roers Kassen, FNP-C | |
|
3345 39th St S Ste 2, Fargo, ND 58104 | |
| (877) 522-1275 | |
| (509) 491-3031 |
| Full Name | Mrs Jaclyn Susan Roers Kassen |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 12 Years |
| Location | 3345 39th St S Ste 2, Fargo, North Dakota |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538538707 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | NP95003104 (California) | Secondary |
| 363L00000X | Nurse Practitioner | R37012 (North Dakota) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Ideal Telemedicine Services Llc | 2860726221 | 58 |
| Ideal Option Pllc | 6709013105 | 94 |
| Ideal Telemedicine Services Llc | 2860726221 | 58 |
| Ideal Option Pllc | 6709013105 | 94 |
| Ideal Telemedicine Services Llc | 2860726221 | 58 |
| Ideal Telemedicine Services Llc | 2860726221 | 58 |
| Ideal Option Pllc | 6709013105 | 94 |
| Ideal Telemedicine Services Llc | 2860726221 | 58 |
| Ideal Option Pllc | 6709013105 | 94 |
| Entity Name | Ideal Option Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1457788275 PECOS PAC ID: 6709013105 Enrollment ID: O20180124000592 |
| Entity Name | Ideal Telemedicine Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1346754868 PECOS PAC ID: 2860726221 Enrollment ID: O20190710001382 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Jaclyn Susan Roers Kassen, FNP-C 500 Sw 7th St Ste A205, Renton, WA 98057-2983 Ph: (509) 222-1275 | Mrs Jaclyn Susan Roers Kassen, FNP-C 3345 39th St S Ste 2, Fargo, ND 58104 Ph: (877) 522-1275 |
Wendy M Moore, NURSE PRACTITIONER Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 901 28th St S, Fargo, ND 58103 Phone: 701-404-1100 Fax: 701-540-6498 | |
Mrs. Kayla L. Nelson, DNP, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 301 Np Ave N, Fargo, ND 58102 Phone: 701-271-3344 | |
Kyrie Marie Severson, APRN, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4622 40th Ave S, Suite A, Fargo, ND 58104 Phone: 701-364-2909 Fax: 701-364-9822 | |
Jessica Smolen, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 321 8th Ave N, Fargo, ND 58102 Phone: 701-234-2525 | |
Tonya M Otto, APRN,CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4110 51st Ave S, Fargo, ND 58104 Phone: 701-364-3100 | |
Mary Omer Habib, APRN, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4622 40th Ave S Ste A, Fargo, ND 58104 Phone: 218-364-8900 | |
Mr. Nicholas Henry Frederiksen, APRN,CNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3000 32nd Ave S, Fargo, ND 58103 Phone: 701-364-8000 Fax: 701-364-8078 |