JENNI HETLETVED PA-C
NPI 1164207338
Physician Assistant in Washburn, ND

Active since August 28, 2023PECOS EnrolledAccepts Medicare Assignment
1177 BORDER LN, WASHBURN, ND 58577(701) 462-3396 Get Directions Write a Review

NPPES record last updated: August 28, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Jenni Hetletved Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JENNI HETLETVED PA-C (NPI 1164207338) is an individual physician assistant in Washburn, North Dakota and active in the NPI registry since August 2023. She is enrolled in Medicare PECOS, is affiliated with Chi St Alexius Health, and is a graduate of University Of North Dakota School Of Medicine (2023).

NPPES Registry Identity

NPI1164207338
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameJENNI HETLETVEDCredential: PA-C
Location Address1177 BORDER LNWashburn, ND 58577-4102
Mailing Address420 7th StWashburn, ND 58577-4384 · (701) 200-6551
Sole ProprietorNo
Medical School CMSUniversity Of North Dakota School Of MedicineGraduated 2023
Enumeration DateAugust 28, 2023
NPPES CertifiedAugust 28, 2023
NPI 1164207338 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

1177 BORDER LN, Washburn, ND 58577

Other Names 1

Former Name (1)Jenni Ebert

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Jenni Hetletved Pa-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7911352026
PECOS Enrollment IDI20231010001851
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Chi St Alexius Health

Acute Care Hospitals · Bismarck, ND
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number350002
Location900 E BroadwayBismarck, ND 58501 · Burleigh County
Emergency services Birthing friendly

Garrison Memorial Hospital

Critical Access Hospitals · Garrison, ND
OwnershipVoluntary non-profit - Church
CMS Certification Number351303
Location407 3rd Ave SEGarrison, ND 58540 · Mclean County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 58577 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$85.71 typical visit price
range $55.75 – $168.12
Typical copayment $21.42 (range $13.93 – $42.03)
Most-billed visit code 99203
Established Patient
$69.48 typical visit price
range $18.11 – $137.65
Typical copayment $17.37 (range $4.52 – $34.41)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physical Therapist
1177 BORDER LN
WASHBURN, ND 58577
Physical Therapist
1177 BORDER LN
WASHBURN, ND 58577
Physician Assistant
1177 BORDER LN
WASHBURN, ND 58577
Clinic/Center (Rural Health)
1177 BORDER LN
WASHBURN, ND 58577

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jenni Hetletved's NPI number?

The NPI number for Jenni Hetletved is 1164207338. It was assigned to this individual provider in the NPPES registry on August 28, 2023. The provider is also known as Jenni Ebert.

Where is Jenni Hetletved located?

Jenni Hetletved practices at 1177 Border Ln, Washburn, ND 58577. The listed phone number is (701) 462-3396.

What is Jenni Hetletved's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Jenni Hetletved enrolled in Medicare?

Yes. Jenni Hetletved is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Jenni Hetletved accept?

Health plans from Blue Cross Blue Shield of North Dakota and Medica list Jenni Hetletved as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Jenni Hetletved affiliated with any hospitals?

According to CMS data, Jenni Hetletved is affiliated with Chi St Alexius Health and Garrison Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Jenni Hetletved was last updated on August 28, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.