Active NPI
Jill Renee Thorsen
- Community Health Worker
- Fargo, ND
National Provider Identifier
1053263384
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Health Worker
- License
- 46245
- Practice address
- 301 NP Ave N
Fargo, ND 58102-4835 - Phone
- (701) 271-3344
- NPI assigned
- Feb 10, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Worker | 172V00000X | 46245 | ND | Primary |
Addresses
Primary practice location
301 NP Ave N
Fargo, ND 58102-4835
Mailing address
301 NP Ave N
Fargo, ND 58102-4835
Phone (701) 271-3344
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Care Compare profile
Medicare Care Compare- Specialty
- Undefined Non-Physician Type (Specify)
- Education
- Other, 2026
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
301 NP Ave N
Fargo, ND 58102-4835
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 46245 | ND | MD | Community Health Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1770681600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1770681600000",
"number": "1053263384",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "301 NP AVE N",
"city": "FARGO",
"state": "ND",
"postal_code": "581024835",
"telephone_number": "701-271-3344"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "301 NP AVE N",
"city": "FARGO",
"state": "ND",
"postal_code": "581024835",
"telephone_number": "701-271-3344"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THORSEN",
"first_name": "JILL",
"middle_name": "RENEE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-02-10",
"last_updated": "2026-02-10",
"certification_date": "2026-02-10",
"status": "A"
},
"taxonomies": [
{
"code": "172V00000X",
"taxonomy_group": "",
"desc": "Community Health Worker",
"state": "ND",
"license": "46245",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fargo, ND
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.