Active NPI
Jennifer Ackerson, NP
- Family Nurse Practitioner
- Fargo, ND
National Provider Identifier
1851117428
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 203734
- Practice address
- 2607 University Dr
Fargo, ND 58103 - Phone
- (701) 951-3130
- NPI assigned
- Nov 28, 2024
- Last updated
- Dec 23, 2025
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 203734 | ND | Primary |
| Registered Nurse | 163W00000X | R43465 | ND |
Addresses
Primary practice location
2607 University Dr
Fargo, ND 58103
Mailing address
2607 University Dr
Fargo, ND 58103
Phone (701) 951-3130
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2025
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
2601 University Dr S
Fargo, ND 58103-6025
2607 University Dr S
Fargo, ND 58103-6025
3120 18TH St S
Fargo, ND 58103-6718
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R43465 | ND | MD | Registered Nurse |
| 203734 | ND | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lance K Bergstrom MD, PC | Current | Accepting new patients |
Locations
2601 University Dr S
Fargo, ND 58103
Phone (701) 235-5200
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1732752000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1766448000000",
"number": "1851117428",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2607 UNIVERSITY DR",
"city": "FARGO",
"state": "ND",
"postal_code": "58103",
"telephone_number": "701-951-3130"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2607 UNIVERSITY DR",
"city": "FARGO",
"state": "ND",
"postal_code": "58103",
"telephone_number": "701-951-3130"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ACKERSON",
"first_name": "JENNIFER",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-11-28",
"last_updated": "2025-12-23",
"certification_date": "2025-12-23",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "ND",
"license": "203734",
"primary": true
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "ND",
"license": "R43465",
"primary": false
}
],
"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 Dec 23, 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.