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MRS. JACLYN SUSAN ROERS KASSEN FNP-C
NPI 1538538707
Nurse Practitioner in Fargo, ND

Active since September 17, 2015PECOS EnrolledAccepts Medicare Assignment
3345 39TH ST S STE 2, FARGO, ND 58104(877) 522-1275(509) 491-3031 Get Directions Write a Review

NPPES record last updated: March 11, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 11, 2025, Jul 13, 2023, Jun 12, 2018 (3 updates tracked since 2018).

About Mrs. Jaclyn Susan Roers Kassen Fnp-c NPPES

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

MRS. JACLYN SUSAN ROERS KASSEN FNP-C (NPI 1538538707) is an individual nurse practitioner in Fargo, North Dakota, licensed in North Dakota (R37012) and active in the NPI registry since September 2015. She is enrolled in Medicare PECOS and is a graduate of Other (2013).

NPPES Registry Identity

NPI1538538707
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameMRS. JACLYN SUSAN ROERS KASSENCredential: FNP-C
Location Address3345 39TH ST S STE 2Fargo, ND 58104
Mailing Address500 Sw 7th St Ste A205Renton, WA 98057-2983 · (509) 222-1275 · Fax (509) 491-3031
Phone(877) 522-1275
Fax(509) 491-3031
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateSeptember 17, 2015
Last NPPES UpdateMarch 11, 20253 updates tracked since enumeration
NPPES CertifiedMarch 11, 2025
✔ NPI 1538538707 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in ND · R37012
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License NP95003104 (CA)
3345 39TH ST S STE 2, Fargo, ND 58104
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross Blue Shield of North Dakota, BridgeSpan Health Company and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mrs. Jaclyn Susan Roers Kassen Fnp-c 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.

PECOS PAC ID4789954421
PECOS Enrollment IDI20180615001032, I20190109003192, I20200615000689, I20240326001970, I20250304003090
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.

Areas of Expertise CMS Part B claims 8

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Testing for presence of drug, by chemistry analyzers 80307
Chemistry analyzers are used to detect the presence of drugs in your system. This test involves taking a small sample of your blood or urine. The sample is then analyzed for specific substances. The results help in understanding your health condition better.
234 services29 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
196 services39 patients
Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms G0480
A definitive drug test is a detailed examination that can identify specific drugs in your system, even closely related ones. Techniques like GC/MS and LC/MS are used for high precision. This helps ensure accurate results for your safety and health.
117 services22 patients
Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms G0481
A definitive drug test is a detailed analysis used to identify specific drugs in your system. It uses advanced techniques, such as gc/ms and lc/ms, to detect and distinguish between different drugs, even those with similar structures.
86 services26 patients
Measurement of alcohol level in breath specimen 82075
Measurement of alcohol level in a breath specimen is a non-invasive procedure to estimate blood alcohol content. It involves blowing into a device, called a breathalyzer, which analyzes the alcohol concentration in your breath. It helps determine if alcohol use is within legal and safe limits.
67 services17 patients
Telehealth originating site facility fee Q3014
The Telehealth originating site facility fee is a charge for the location where you receive your telehealth service, such as a clinic or hospital. It covers costs like equipment use, technical support, and other resources needed to provide a secure, effective telehealth visit.
59 services28 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 58104 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 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JANE LOUISE SVEEN PA-C
Physician Assistant
3345 39TH ST S STE 2
FARGO, ND 58104
Cass County (509) 222-1275
BRIAN JEFFERSON DAWSON MD
Family Medicine (Addiction Medicine)
3345 39TH ST S STE 2
FARGO, ND 58104
Cass County (509) 222-1275

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 Jaclyn Kassen's NPI number?

The NPI number for Jaclyn Kassen is 1538538707. It was assigned to this individual provider in the NPPES registry on September 17, 2015.

Where is Jaclyn Kassen located?

Jaclyn Kassen practices at 3345 39th St S Ste 2, Fargo, ND 58104. The listed phone number is (877) 522-1275.

What is Jaclyn Kassen's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Jaclyn Kassen enrolled in Medicare?

Yes. Jaclyn Kassen 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.

What insurance does Jaclyn Kassen accept?

Health plans from Blue Cross Blue Shield of North Dakota, Blue Cross and Blue Shield of Montana, BridgeSpan Health Company, HealthPartners and Kaiser Permanente and 7 other insurers list Jaclyn Kassen 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 Jaclyn Kassen was last updated on March 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.