Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1659225399 Individual Practitioner Female Practitioner

Jerrica Stack

Licensed Practical Nurse • West Fargo, ND

Professional Overview & Biography Verified Profile Summary

Jerrica Stack is a registered healthcare professional specializing in Licensed Practical Nurse in West Fargo, ND. Practice services are available at 2028 2ND AVE NW under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2028 2nd Ave Nw

West Fargo, ND 580781317

Telephone 7013562000
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Licensed Practical Nurse in West Fargo, ND

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
9 Specialists

Practicing in West Fargo, ND (314 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2026-02-20
Licensed Practical Nurse Primary Specialty

NUCC Taxonomy Code: 164W00000X

State License ND L18300

An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

35 Associated Practitioners
Magdalen Anderson

Speech-Language Pathologist

NPI 1033096540
Jamie Machayya

Registered Nurse

NPI 1033096607
Hannah Boese

Registered Nurse

NPI 1073499240
Michelle Mart , CCC-SLP

Speech-Language Pathologist

NPI 1083900971

Speech-Language Pathologist (Certificate of Clinical Competence)

Kaela Laudal , SLP

Speech-Language Pathologist

NPI 1104142066

Speech-Language Pathologist

Allison Bolin

Specialist

NPI 1144190851

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active February 20, 2026

NPI status registered as active in NPPES database

📍
Updated Practice Location February 20, 2026

Registered at 2028 2ND AVE NW, WEST FARGO, ND 580781317 (Tel: 7013562000)

📍
Updated Business Mailing Address February 20, 2026

Registered at 2028 2ND AVE NW, WEST FARGO, ND 580781317

👤
Provider Name / Credentials Updated February 20, 2026

Recorded as JERRICA STACK

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 20, 2026

Licensed Practical Nurse (License #L18300 in ND)

🟢
Initial NPI Registration & Enumeration February 20, 2026

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1659225399
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 20, 2026
Last Update: February 20, 2026
Sole Proprietor: No

Mailing Address

2028 2nd Ave Nw

West Fargo, ND 580781317

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.