diff --git a/src/recordlinker/database/mpi_service.py b/src/recordlinker/database/mpi_service.py
index 8852e30b..843c36fe 100644
--- a/src/recordlinker/database/mpi_service.py
+++ b/src/recordlinker/database/mpi_service.py
@@ -367,3 +367,12 @@ def delete_persons(
         session.delete(person)
     if commit:
         session.commit()
+
+
+def get_orphaned_patients(
+    session: orm.Session,
+) -> typing.Sequence[schemas.PatientRefs]:
+    """
+    Retrieve all the orphaned Patients in the MPI database.
+    """
+    return session.scalars(select(models.Patient).where(models.Patient.person_id.is_(None))).all()
diff --git a/src/recordlinker/routes/patient_router.py b/src/recordlinker/routes/patient_router.py
index 91dd99a2..7b921462 100644
--- a/src/recordlinker/routes/patient_router.py
+++ b/src/recordlinker/routes/patient_router.py
@@ -57,6 +57,23 @@ def create_patient(
     )
 
 
+@router.get(
+    "/orphaned", summary="Retrieve orphaned patients", status_code=fastapi.status.HTTP_200_OK
+)
+def get_orphaned_patients(
+    session: orm.Session = fastapi.Depends(get_session),
+) -> schemas.PatientRefs | None:
+    """
+    Retrieve patient_reference_id(s) for all Patients that are not linked to a Person.
+    """
+    patients = service.get_orphaned_patients(session)
+    if not patients:
+        return None
+    return schemas.PatientRefs(
+        patients=[p.reference_id for p in patients if p.reference_id is not None]
+    )
+
+
 @router.get(
     "/{patient_reference_id}",
     summary="Retrieve a patient record",