Jenna Corsiatto, APRN

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

203997 Issued in ND

Practice address

402 6TH Ave SW
Bowman, ND 58623-4506

Phone

(701) 523-7694

NPI assigned

Oct 9, 2025

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in ND

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2025

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Phoenix Therapy Center, PLLCGroup PAC ID 0143685057, 3 clinicians

Southwesthealthcare ServicesGroup PAC ID 3173512704, 13 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Phoenix Therapy Center PLLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Bowman, ND
  • NPI 1518653377

  ND

  Medicare reassignment Care Compare group NPD
• Southwest Health Care Services

  • Clinic/Center
  • Bowman, ND
  • NPI 1023083714

  ND

  Medicare reassignment Care Compare group NPD
• Southwest Healthcare Services

  • Critical Access Hospital
  • Bowman, ND
  • NPI 1477529030

  ND

  Medicare reassignment Care Compare group NPD
• Southwest Healthcare Services

  • Medicare Defined Swing Bed Hospital Unit
  • Bowman, ND
  • NPI 1518068949
  Care Compare group
• Southwest Healthcare Services

  • Rural Health Clinic/Center
  • Bowman, ND
  • NPI 1891893624
  Care Compare group
• Southwesthealthcare Services

  • Oxygen Equipment & Supplies (DME)
  • Bowman, ND
  • NPI 1588745004
  Care Compare group
• Phoenix Therapy Center, LLC

  • Social Worker
  • Bowman, ND
  • NPI 1285344291
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1759968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766534400000",
    "number": "1083589873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "402 6TH AVE SW",
            "city": "BOWMAN",
            "state": "ND",
            "postal_code": "586234506",
            "telephone_number": "701-523-7694"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "402 6TH AVE SW",
            "city": "BOWMAN",
            "state": "ND",
            "postal_code": "586234506",
            "telephone_number": "701-523-7694"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORSIATTO",
        "first_name": "JENNA",
        "name_prefix": "Ms.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-10-09",
        "last_updated": "2025-12-24",
        "certification_date": "2025-12-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "ND",
            "license": "203997",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bowman Drug Company, PC
• Shannon Paige Bowman, OT
• Bowman/Slope Multi-County Social Services
• Melissa A. Buchholz, LCSW
• Central RX Group LLC
• County of Slope
• Darren Criswell, DPT
• Dakota Dental Center, P.L.L.C.
• Dakota Southwestern Wellness, P. L.L.C.
• Matthew Craig Degree, RPH

• All providers in Bowman, ND
• Psychiatric/Mental Health Nurse Practitioner in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 24, 2025; 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.

Verify at the official NPI Registry.