Active NPI 1538538707 Individual Practitioner Female Practitioner

Jaclyn Susan Roers Kassen , FNP-C

Nurse Practitioner • Fargo, ND

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Jaclyn Kassen, FNP-C is a certified Nurse Practitioner practicing in Fargo, ND. With approximately 13 years of clinical experience since completing medical education in 2013, Jaclyn Kassen delivers high-quality medical care to the local community at 3345 39TH ST S STE 2.

Jaclyn Kassen maintains professional affiliations with Ideal Telemedicine Services Llc, Ideal Option Pllc and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include testing for presence of drug, by chemistry analyzers, established patient outpatient office visit, 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. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

3345 39th St S Ste 2

Fargo, ND 58104

Telephone 8775221275

Fax 5094913031

Associated Practice Facility / Clinic

🏢 Ideal Option, Pllc Facility NPI 1457788275

Medicare Profile & Education

Medical School

Other

Graduation Year

2013

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Fargo, ND

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

13 Yrs +4.0 yrs vs City Avg

City Avg: 9.0 Yrs

State Avg: 15.6 Yrs

Regional Practice Density

210 Specialists

Practicing in Fargo, ND (468 Statewide)

Telehealth Adoption Rate

20.5% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

72.5% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Kassen (13 Years) 13 Yrs

Fargo Specialty Average (9.0 Years) 9.0 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
80307 Testing for presence of drug, by chemistry analyzers	234	29	$237.82	$59.03
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	196	39	$341.20	$104.87
G0480 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	117	22	$425.81	$110.01
G0481 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	86	26	$583.95	$145.85
82075 Measurement of alcohol level in breath specimen	67	17	$98.06	$27.06
Q3014 Telehealth originating site facility fee	59	28	$55.00	$28.08
99213 Established patient office or other outpatient visit, typically 15 minutes	40	13	$257.50	$73.23
36415 Insertion of needle into vein for collection of blood sample	12	12	$25.00	$7.93

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
80307 Testing for presence of drug, by chemistry analyzers	184	23	$200.00	$60.90
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	152	39	$210.00	$104.24
82075 Measurement of alcohol level in breath specimen	75	14	$50.00	$29.40
G0481 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	65	17	$450.00	$153.46
Q3014 Telehealth originating site facility fee	53	32	$55.00	$28.20
G0482 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	49	16	$550.00	$194.77
G0480 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	44	15	$300.00	$112.14

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	234	47	$210.00	$107.11
Q3014 Telehealth originating site facility fee	223	50	$55.00	$27.34
80307 Testing for presence of drug, by chemistry analyzers	210	20	$200.00	$61.27
G0482 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	157	20	$550.00	$195.83
82075 Measurement of alcohol level in breath specimen	86	13	$50.00	$29.58
99213 Established patient office or other outpatient visit, typically 15 minutes	62	19	$180.00	$75.87

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
Q3014 Telehealth originating site facility fee	191	44	$50.21	$27.02
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	172	41	$210.00	$109.39
80307 Testing for presence of drug, by chemistry analyzers	168	17	$200.00	$62.14
G0482 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	112	18	$550.00	$198.74
82075 Measurement of alcohol level in breath specimen	54	13	$50.00	$30.00
99213 Established patient office or other outpatient visit, typically 15 minutes	24	12	$180.00	$77.12

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
Q3014 Telehealth originating site facility fee	197	82	$50.00	$26.58
80307 Testing for presence of drug, by chemistry analyzers	196	19	$200.00	$61.87
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	118	56	$210.00	$85.96
99213 Established patient office or other outpatient visit, typically 15 minutes	105	56	$180.00	$60.58
82075 Measurement of alcohol level in breath specimen	85	19	$50.00	$29.89
G0482 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	74	15	$550.00	$198.04
G0480 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	46	11	$300.00	$113.83
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	33	23	$250.00	$115.35
G0483 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	32	14	$650.00	$245.69

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
Q3014 Telehealth originating site facility fee	109	41	$50.00	$25.73
80307 Testing for presence of drug, by chemistry analyzers	97	14	$200.00	$63.36
G0482 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	66	11	$550.00	$194.77
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	64	35	$210.00	$69.65
99213 Established patient office or other outpatient visit, typically 15 minutes	45	24	$180.00	$44.02
82075 Measurement of alcohol level in breath specimen	39	16	$50.00	$29.40

Medical Specialties & State Licenses

CMS Verified: 2025-03-11

Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License ND R37012

(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.

Nurse Practitioner - Family

NUCC Taxonomy Code: 363LF0000X

State License CA NP95003104

Definition to come...

Hospital & Practice Group Affiliations

Ideal Telemedicine Services Llc

8508 W Gage Blvd, Kennewick, WA 993368106

Phone: 50957093022123

Ideal Option Pllc

1221 W Divide Ave, Bismarck, ND 585011224

Phone: 8775221275

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

40 Associated Practitioners

Kelly Donlin , ARNP

Nurse Practitioner - Family

NPI 1013639145

Advanced Registered Nurse Practitioner

Dr. Blake Bitton , PA-C, PhD, RDH

Physician Assistant

NPI 1023378882

Physician Assistant (Certified), Doctor of Philosophy (Ph.D.), Registered Dental Hygienist

Sarah Pedersen

Physician Assistant

NPI 1023494226

Shawnda Jennings , PSS

Peer Specialist

NPI 1023874617

Michelle Meako , ARNP

Nurse Practitioner

NPI 1043545254

Advanced Registered Nurse Practitioner

Ty Bradford , PA-C

Physician Assistant

NPI 1053075077

Physician Assistant (Certified)

Career & Practice History Timeline

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

9 Historical Events

📍

Updated Business Mailing Address March 11, 2025

Registered at 500 SW 7TH ST STE A205, RENTON, WA 980572983 (Tel: 5092221275)

📍

Updated Practice Location June 12, 2018

Registered at 3345 39TH ST S STE 2, FARGO, ND 58104 (Tel: 8775221275)

📍

Updated Business Mailing Address June 12, 2018

Registered at 5615 DUNBARTON AVE, PASCO, WA 993018216 (Tel: 5092221275)

✅

NPI Profile Active September 17, 2015

NPI status registered as active in NPPES database

📍

Updated Practice Location September 17, 2015

Registered at 111 CHOSIN CIR, SUITE B, OCEANSIDE, CA 920588202 (Tel: 3208080259)

📍

Updated Business Mailing Address September 17, 2015

Registered at 111 CHOSIN CIR, SUITE B, OCEANSIDE, CA 920588202 (Tel: 3208080259)

👤

Provider Name / Credentials Updated September 17, 2015

Recorded as JACLYN KASSEN, FNP-C

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) September 17, 2015

Nurse Practitioner (License #NP95003104 in CA)

🟢

Initial NPI Registration & Enumeration September 17, 2015

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: 1538538707

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: September 17, 2015

Last Update: March 11, 2025

Sole Proprietor: No

Update or Correct Profile

Mailing Address

500 Sw 7th St Ste A205

Renton, WA 980572983

Phone: 5092221275

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.