Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

JENNA ROSE LARSON
NPI 1235056102
Nurse Practitioner - Family in Fargo, ND

Q: What is Jenna Larson's NPI number?

The NPI number for Jenna Larson is 1235056102. It was assigned to this individual provider in the NPPES registry on July 1, 2026. The provider is also known as Jenna Rose Larsen.

Q: What is Jenna Larson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Jenna Larson was last updated on September 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 days 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.

Active since July 01, 2026PECOS Enrolled

3000 32ND AVE S, FARGO, ND 58103(701) 364-8900 Get Directions Write a Review

NPPES record last updated: September 16, 2026. Verified against the NPPES registry weekly; last sync: September 27, 2026.

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About Jenna Rose Larson NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JENNA ROSE LARSON (NPI 1235056102) is an individual family provider in Fargo, North Dakota, licensed in North Dakota (205272) and active in the NPI registry since July 2026. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1235056102

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameJENNA ROSE LARSON

Location Address3000 32ND AVE SFargo, ND 58103-6132

Mailing Address3000 32nd Ave SFargo, ND 58103-6132

Phone(701) 364-8900

Sole ProprietorNo

Enumeration DateJuly 1, 2026

Last NPPES UpdateSeptember 16, 2026

NPPES CertifiedSeptember 16, 2026

✔ NPI 1235056102 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

Licenses✔ Licensed in ND · 205272✔ Licensed in MN · 14402

3000 32ND AVE S, Fargo, ND 58103

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Other Names 1

Former Name (1)Jenna Rose Larsen

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jenna Rose Larson is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 58103 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$85.71 typical visit price

range $55.75 – $168.12

Typical copayment $21.42 (range $13.93 – $42.03)

Most-billed visit code 99203

Established Patient

$98.29 typical visit price

range $18.11 – $137.65

Typical copayment $24.57 (range $4.52 – $34.41)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

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