Marisa Jean Jergenson, RN, BSN, CADC
NPI 1902482300ActiveIndividual· Registered Nurse· Fort Dodge, IA
Registered Nurse (RN, BSN, CADC) in Fort Dodge, Iowa, licensed in IA, with an NPI issued in March 2021.
Overview
| NPI | 1902482300 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | RN, BSN, CADC |
| Sole proprietor | No |
| NPI issued | Mar 24, 2021 |
| Last updated in NPPES | Jun 19, 2023 |
| Certified by provider | Jun 19, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Registered Nurse Primary | 163W00000X | 131852 | IA |
| Counselor, Addiction (Substance Use Disorder) | 101YA0400X | 21037 | IA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Education and affiliations
| Graduation year | 2025 |
|---|---|
| Medicare specialty | Undefined Non-Physician Type (Specify) |
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