Individual provider Active NPI

Jenny K Marsden, PA

  • Physician Assistant
  • Moorhead, MN
National Provider Identifier
1164678660
Registry record updated Jul 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PAC0398 Issued in ND
Practice address
3729 41St Ave S
Moorhead, MN 56560-7418
Phone
(701) 412-1202
NPI assigned
Aug 15, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 10899 MN
Surgical Physician Assistant 363AS0400X PAC0398 ND
Physician Assistant 363A00000X PAC0398 ND Primary

Addresses

Primary practice location

3729 41St Ave S
Moorhead, MN 56560-7418

Mailing address

3729 41St Ave S
Moorhead, MN 56560-7418

Other identifiers 1

IdentifierTypeStateIssuer
PAC0398OtherNDSTATE LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ND, MN2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20080909000598 ND Practitioner - Physician Assistant 3577639988 Reassigns benefits to 1 organization
I20110713000650 MN Practitioner - Physician Assistant 3577639988 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
82.73 of 100Reported as group
Quality
71.75
Promoting interoperability
100
Improvement activities
40
Cost
70.68

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PAC0398NDMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Sanford Medical Center Fargo CurrentSince Jul 16, 2018 Accepting new patients
Retina Consultants, LTD CurrentSince Apr 27, 2026 Accepting new patients
Sanford Medical Center Fargo CurrentSince Mar 1, 2011 Accepting new patients
Sanford Medical Center Fargo CurrentSince Mar 1, 2011 Accepting new patients
Sanford Medical Center Fargo Past Accepting new patients

Locations

4000 28th Ave S
Moorhead, MN 56560
Phone (701) 234-3200

1301 8th St S
Moorhead, MN 56560
Phone (701) 234-3200

736 Broadway N
Fargo, ND 58102
Phone (701) 234-2353

2301 25th St SW
Ste A
Fargo, ND 58103
Phone (701) 237-9712

2400 32nd Ave S
Fargo, ND 58103
Phone (701) 234-8800

1720 University Dr S
Fargo, ND 58103
Phone (701) 280-4140

5225 23rd Ave S
Fargo, ND 58104
Phone (701) 234-5933

4450 31st Ave S
Ste 200
Fargo, ND 58104
Phone (701) 293-9829

1220 Sheyenne St
West Fargo, ND 58078
Phone (701) 234-4445

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1218758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782950400000",
    "number": "1164678660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3729 41ST AVE S",
            "city": "MOORHEAD",
            "state": "MN",
            "postal_code": "565607418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3729 41ST AVE S",
            "city": "MOORHEAD",
            "state": "MN",
            "postal_code": "565607418",
            "telephone_number": "701-412-1202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARSDEN",
        "first_name": "JENNY",
        "middle_name": "K",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-08-15",
        "last_updated": "2026-07-02",
        "certification_date": "2026-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "MN",
            "license": "10899",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "ND",
            "license": "PAC0398",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "ND",
            "license": "PAC0398",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "PAC0398",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Moorhead, MN

Sources for this page

Verify at the official NPI Registry.