NICOLE BETTENDORF PLLC
NPI 1306638689
Clinic/Center in Langdon, ND
About Nicole Bettendorf Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
NICOLE BETTENDORF PLLC (NPI 1306638689) is a healthcare organization registered as a clinic/center in Langdon, North Dakota and active in the NPI registry since May 2025. The organization lists Nicole Bettendorf, Owner/provider, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Nicole Bettendorf Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Nicole Bettendorf PLLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Nicole Bettendorf PLLC's NPI number?
The NPI number for Nicole Bettendorf PLLC is 1306638689. It was assigned to this organization in the NPPES registry on May 21, 2025.
Where is Nicole Bettendorf PLLC located?
Nicole Bettendorf PLLC is located at 817 3rd St, Langdon, ND 58249. The listed phone number is (701) 888-9118.
What is Nicole Bettendorf PLLC's specialty?
The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.
Is Nicole Bettendorf PLLC enrolled in Medicare?
Yes. Nicole Bettendorf PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Nicole Bettendorf PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Nicole Bettendorf PLLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Nicole Bettendorf PLLC was last updated on January 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Nicole Bettendorf Pllc · NPI 1306638689
Clinic/Center organization in Langdon, North Dakota. Organization record, active in the CMS NPPES registry since May 21, 2025.
## Identity
- **NPI:** 1306638689 (Entity type: Organization)
- **Enumerated:** May 21, 2025
- **Primary specialty:** Clinic/Center · taxonomy 261Q00000X
- **Organization subpart:** No
- **Authorized official:** Nicole Bettendorf, OWNER/PROVIDER
## Practice location
- **Address:** 817 3RD ST, Langdon, ND 58249-2641
- **Phone:** (701) 888-9118
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Nurse Practitioner) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 17, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1306638689) · Data from the CMS NPPES public registry.