JACQUELYN HAUGEN
NPI 1558022962
Nurse Practitioner - Family in Bismarck, ND

Q: What is Jacquelyn Haugen's NPI number?

The NPI number for Jacquelyn Haugen is 1558022962. It was assigned to this individual provider in the NPPES registry on January 7, 2022. The provider is also known as Jacki Meyer.

Q: What is Jacquelyn Haugen's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Jacquelyn Haugen was last updated on June 14, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.

Active since January 07, 2022PECOS EnrolledAccepts Medicare Assignment

1000 E ROSSER AVE, BISMARCK, ND 58501(701) 712-4500 Get Directions Write a Review

NPPES record last updated: June 14, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 14, 2023, May 16, 2023, Jan 7, 2022 (3 updates tracked since 2022).

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About Jacquelyn Haugen NPPES

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

JACQUELYN HAUGEN (NPI 1558022962) is an individual family provider in Bismarck, North Dakota, licensed in North Dakota (R36541) and active in the NPI registry since January 2022. She is enrolled in Medicare PECOS, is affiliated with Chi St Alexius Health, and maintains a secondary practice location in Bismarck.

NPPES Registry Identity

NPI1558022962

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameJACQUELYN HAUGEN

Location Address1000 E ROSSER AVEBismarck, ND 58501-4414

Mailing Address401 N 9th StBismarck, ND 58501-4506 · (701) 712-4500 · Fax (701) 712-4098

Phone(701) 712-4500

Sole ProprietorNo

Medical School CMSOtherGraduated 2020

Enumeration DateJanuary 7, 2022

Last NPPES UpdateJune 14, 20233 updates tracked since enumeration

NPPES CertifiedJune 14, 2023

✔ NPI 1558022962 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in ND · R36541

1000 E ROSSER AVE, Bismarck, ND 58501

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Other Names 1

Other Name (5)Jacki Meyer

Secondary Practice Location 1

Location 1900 E Broadway AveBismarck, ND 58501-4520 · Phone (701) 530-7000

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of North Dakota, Medica, Sanford Health Plan.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

Jacquelyn Haugen 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 ID7911392394

PECOS Enrollment IDI20220322000961

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

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 58501 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

$98.29 typical visit price

range $18.11 – $137.65

Typical copayment $24.57 (range $4.52 – $34.41)

Most-billed visit code 99214

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 20

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

REBECCA L RITTER NP-C

Nurse Practitioner