Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Marisa Jean Jergenson, RN, BSN, CADC

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1902482300

Marisa Jean Jergenson, RN, BSN, CADC is an Undefined Non-Physician Type (Specify) in Fort Dodge, Iowa. Qualified in 2025, 1 year ago. Licensed in Iowa.

Years since qualifying
1
Licensed in
IA
In the registry since
2021
Specialties on file
2
What do these letters mean?
RN — Registered Nurse
A licensed nurse who completed a nursing degree and passed the NCLEX-RN examination.
BSN — Bachelor of Science in Nursing
A four-year nursing degree.
CADC — Certified Alcohol and Drug Counselor
A certified addiction counsellor.

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Practice location Address checks out

211 Avenue M W
Fort Dodge, IA 50501-5789
Phone: (515) 576-7261
Fax: (515) 955-7628
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Nurse (primary) Taxonomy 163W00000X · Licence 131852 (IA)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence 21037 (IA)

Record details

NPI number1902482300
Entity typeIndividual (Type 1)
GenderFemale
Credentials RN , BSN , CADC
Sole proprietorNo
NPI enumeratedMarch 24, 2021
Last updated in NPPESJune 19, 2023
Certification dateJune 19, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyUNDEFINED NON-PHYSICIAN TYPE (SPECIFY)
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Accepts Medicare assignment Not indicated

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