Individual provider Active NPI

Jean Isakson, NP

  • Family Nurse Practitioner
  • West Fargo, ND
National Provider Identifier
1881436004
Registry record updated May 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R49153 Issued in ND
Practice address
505 32ND Ave E Ste B
West Fargo, ND 58078-8490
Phone
(701) 532-1731
Fax
(701) 532-1940
NPI assigned
Jun 10, 2024
Last updated
May 12, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 12, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X R49153 ND Primary

Addresses

Primary practice location

505 32ND Ave E Ste B
West Fargo, ND 58078-8490

Mailing address

505 32ND Ave E Ste B
West Fargo, ND 58078-8490
Phone (701) 532-1731

Other practice location 1

215 Fairway Dr
Forman, ND 58032-4309
Phone (701) 408-9086

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SD, ND2 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
I20240815002984 SD Practitioner - Nurse Practitioner 8729526165 Reassigns benefits to 1 organization
I20250507001735 ND Practitioner - Nurse Practitioner 8729526165 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Convenient Care Clinic PLLCGroup PAC ID 5193184794, 3 clinicians

Practice addresses (Care Compare)

505 32ND Ave E
Suite B
West Fargo, ND 58078-8490
Phone (701) 532-1731

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
R49153NDMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Convenient Care Clinic, PLLC Family CurrentSince May 1, 2025 Accepting new patients
Marshall County Memorial Hospital CurrentSince Jul 1, 2024 Accepting new patients
Vance Thompson Vision ND Prof LLC CurrentSince May 1, 2025 Accepting new patients
Marshall County Memorial Hospital CurrentSince Jul 1, 2024 Accepting new patients

Locations

505 32nd Ave E
Ste B
West Fargo, ND 58078
Phone (701) 532-1731

413 9th St
Britton, SD 57430
Phone (605) 448-2253

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1717977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778544000000",
    "number": "1881436004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505 32ND AVE E STE B",
            "city": "WEST FARGO",
            "state": "ND",
            "postal_code": "580788490",
            "telephone_number": "701-532-1731",
            "fax_number": "701-532-1940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 32ND AVE E STE B",
            "city": "WEST FARGO",
            "state": "ND",
            "postal_code": "580788490",
            "telephone_number": "701-532-1731",
            "fax_number": "701-532-1940"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "215 Fairway Dr",
            "address_purpose": "LOCATION",
            "city": "Forman",
            "state": "ND",
            "postal_code": "580324309",
            "country_code": "US",
            "telephone_number": "701-408-9086",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ISAKSON",
        "first_name": "JEAN",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-10",
        "last_updated": "2026-05-12",
        "certification_date": "2026-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "ND",
            "license": "R49153",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Fargo, ND

Sources for this page

Verify at the official NPI Registry.