| Nicole Bettendorf PLLC | |
|
817 3rd St Langdon ND 58249-2641 | |
| (701) 888-9118 | |
| Not Available |
| Full Name | Nicole Bettendorf PLLC |
|---|---|
| Speciality | Clinic/Center |
| Location | 817 3rd St, Langdon, North Dakota |
| Authorized Official Name and Position | Nicole Bettendorf (OWNER/PROVIDER) |
| Authorized Official Contact | 7632338584 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Nicole Bettendorf PLLC 714 5th St Langdon ND 58249-2536 Ph: (763) 233-8584 | Nicole Bettendorf PLLC 817 3rd St Langdon ND 58249-2641 Ph: (701) 888-9118 |
| NPI Number | 1306638689 |
|---|---|
| Provider Enumeration Date | 05/21/2025 |
| Last Update Date | 01/17/2026 |
| Certification Date | 01/17/2026 |
| Medicare PECOS PAC ID | 3274046875 |
|---|---|
| Medicare Enrollment ID | O20250627001001 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306638689 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | () | Primary |
| Provider Name | Nicole Bettendorf |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699503102 PECOS PAC ID: 7012458755 Enrollment ID: I20240920001617 |
Langdon Prairie Health Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 909 2nd St, Langdon, ND 58249 Phone: 701-256-6100 Fax: 701-256-2170 |
Langdon Prairie Health Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 901 2nd St, Langdon, ND 58249 Phone: 701-256-6120 Fax: 701-256-6156 |