Nicole Bettendorf, FNP is a medicare enrolled "Nurse Practitioner - Family" in Walhalla, North Dakota. She graduated from nursing school in 2023 and has 3 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Cavalier County Memorial Hospital Association and her current practice location is
301 5th St, Walhalla, North Dakota. You can reach out to her office (for appointments etc.) via phone at
(763) 233-8584.
Nicole Bettendorf is licensed to practice in North Dakota (license number 200264) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1699503102.
Provider's Profile
| Full Name | Nicole Bettendorf |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 3 Years |
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| Location | 301 5th St, Walhalla, North Dakota |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Nicole Bettendorf graduated from nursing school in 2023
NPI Data:
- NPI Number: 1699503102
- Provider Enumeration Date: 07/25/2024
- Last Update Date: 02/17/2025
Medicare PECOS Information:
- PECOS PAC ID: 7012458755
- Enrollment ID: I20240920001617
Medical Identifiers
Medical identifiers for Nicole Bettendorf such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1699503102 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LF0000X | Nurse Practitioner - Family | 200264 (North Dakota) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Cavalier County Memorial Hospital Association | 5092623520 | 10 |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Nicole Bettendorf allows following entities to bill medicare on her behalf.
| Entity Name | Cavalier County Memorial Hospital Association |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1750328662
PECOS PAC ID: 5092623520
Enrollment ID: O20040527000411 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Nicole Bettendorf is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
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Nicole Bettendorf, FNP
301 5th St,
Walhalla, ND 58282-4625
Ph: (763) 233-8584 | Nicole Bettendorf, FNP
301 5th St,
Walhalla, ND 58282-4625
Ph: (763) 233-8584 |
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