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

MS. JEANNE WAALEN PHYSICIAN ASSISTANT
NPI 1700826369
Physician Assistant in Fargo, ND

Q: What is Jeanne Waalen's NPI number?

The NPI number for Jeanne Waalen is 1700826369. It was assigned to this individual provider in the NPPES registry on June 8, 2006.

Q: What is Jeanne Waalen's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Jeanne Waalen was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 33 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 June 08, 2006

4200 WOODHAVEN ST SW, FARGO, ND 58104(701) 364-3666 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Ms. Jeanne Waalen Physician Assistant NPPES

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

MS. JEANNE WAALEN PHYSICIAN ASSISTANT (NPI 1700826369) is an individual physician assistant in Fargo, North Dakota, licensed in North Dakota (PAC 0260) and active in the NPI registry since June 2006.

NPPES Registry Identity

NPI1700826369

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameMS. JEANNE WAALENCredential: PHYSICIAN ASSISTANT

Location Address4200 WOODHAVEN ST SWFargo, ND 58104-3946

Mailing Address4200 Woodhaven St SwFargo, ND 58104-3946 · (701) 364-3666

Phone(701) 364-3666

Sole ProprietorNo

Enumeration DateJune 8, 2006

Last NPPES UpdateJuly 13, 2026

✔ NPI 1700826369 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in ND · PAC 0260

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

4200 WOODHAVEN ST SW, Fargo, ND 58104

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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 Jeanne Waalen's NPI number?

The NPI number for Jeanne Waalen is 1700826369. It was assigned to this individual provider in the NPPES registry on June 8, 2006.

Where is Jeanne Waalen located?

Jeanne Waalen practices at 4200 Woodhaven St SW, Fargo, ND 58104. The listed phone number is (701) 364-3666.

What is Jeanne Waalen's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Jeanne Waalen was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 33 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.