JENNA DOBERVICH
NPI 1225301179
Counselor - Professional in Fargo, ND
About Jenna Dobervich NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JENNA DOBERVICH (NPI 1225301179) is an individual professional provider in Fargo, North Dakota, licensed in North Dakota (710-2-1-12A) and active in the NPI registry since February 2012. She is enrolled in Medicare PECOS and is a graduate of Other (2011).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Jenna Dobervich is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Jenna Dobervich reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
West Fargo, ND 58078
- Reassigned Medicare billing, North Dakota enrollment
- 4 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Jenna Dobervich's NPI number?
The NPI number for Jenna Dobervich is 1225301179. It was assigned to this individual provider in the NPPES registry on February 22, 2012.
Where is Jenna Dobervich located?
Jenna Dobervich practices at 1201 25th St S, Fargo, ND 58103. The listed phone number is (701) 451-4900.
What is Jenna Dobervich's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.
Is Jenna Dobervich enrolled in Medicare?
Yes. Jenna Dobervich is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Jenna Dobervich's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jenna Dobervich reassigns Medicare benefits to Ashley Kasson Therapy PLLC (West Fargo, ND). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jenna Dobervich's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Jenna Dobervich accept?
Health plans from Blue Cross Blue Shield of North Dakota and Sanford Health Plan list Jenna Dobervich as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Jenna Dobervich was last updated on February 22, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Jenna Dobervich · NPI 1225301179
Professional provider in Fargo, North Dakota. Individual provider, active in the CMS NPPES registry since February 22, 2012.
## Identity
- **NPI:** 1225301179 (Entity type: Individual)
- **Enumerated:** February 22, 2012
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **State license:** 710-2-1-12A (North Dakota)
- **Sole proprietor:** No
## Practice location
- **Address:** 1201 25TH ST S, Fargo, ND 58103-2311
- **Phone:** (701) 451-4900
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Ashley Kasson Therapy PLLC (NPI 1982205068, West Fargo, ND), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2011
## Record status
- **NPPES last updated:** February 22, 2012
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Source: [NPI Profile](https://npiprofile.com/npi/1225301179) · Data from the CMS NPPES public registry.