Jennifer Marie Ekern, PMHNP

Key facts

NPI: 1598478331
Entity type: Individual (NPI type 1)
Primary specialty: Psychiatric/Mental Health Nurse Practitioner 363LP0808X
License: R33801 (ND)
Practice address: 2605 Circle Dr
Jamestown, ND 58401-6905
Phone: (701) 253-9650
NPI assigned: Dec 26, 2022
Sex: Female
Sole proprietor: Yes

Organizations & group practices 1

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.

North Dakota State Hospital Psychiatric Hospital · Jamestown, ND · NPI 1649227075

Medicare reassignment Care Compare group NPD ND · SINGLE SPECIALTY

Medicare Care Compare profile

Specialty: Nurse Practitioner
Education: Other, 2022
Medicare assignment: Accepts the Medicare-approved amount as payment in full
Group practices: North Dakota State Hospital (9 clinicians)

Practice addresses (Care Compare)

2605 Circle Dr
Jamestown, ND 58401-6905
Phone (701) 253-3650

Medicare participation

Medicare fee-for-service enrollment: Enrolled in ND
Eligible to order & refer: Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No

Medicare enrollment records

Enrollment ID	State	Provider type	PAC ID	Details
I20230309001595	ND	Practitioner - Nurse Practitioner	3072986272	Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD): Yes
Credentials: Nurse Practitioner

State licenses

License	State	Type	Specialty
R33801	ND	MD	Psychiatric/Mental Health Nurse Practitioner

Practice roles

Organization	Specialty	Status	New patients
North Dakota State Hospital	Single Specialty	Current since Jan 13, 2023	Accepting new patients

Locations

600 E Boulevard Ave
Dept 325
Bismarck, ND 58505
Phone (701) 328-4644

2605 Circle Dr
Jamestown, ND 58401
Phone (701) 253-3650

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Psychiatric/Mental Health Nurse Practitioner Group: 193400000X SINGLE SPECIALTY GROUP	363LP0808X	R33801	ND	Yes

Addresses

Primary practice location

2605 Circle Dr
Jamestown, ND 58401-6905

Mailing address

421 13TH St NE
Jamestown, ND 58401-2441
Phone (701) 330-7761

Other providers in Jamestown, ND

All providers in Jamestown, ND · Psychiatric/Mental Health Nurse Practitioner in North Dakota

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 26, 2022. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
Order and Referring (CMS).
Medicare Care Compare provider data (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.