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NICOLE BETTENDORF FNP
NPI 1699503102
Nurse Practitioner - Family in Langdon, ND

Active since July 25, 2024PECOS EnrolledAccepts Medicare Assignment
817 3RD ST, LANGDON, ND 58249(701) 888-9118(701) 999-9974 Get Directions Write a Review

NPPES record last updated: January 17, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jan 17, 2026, Feb 17, 2025, Jul 25, 2024 (3 updates tracked since 2024).

About Nicole Bettendorf Fnp NPPES

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

NICOLE BETTENDORF FNP (NPI 1699503102) is an individual family provider in Langdon, North Dakota, licensed in North Dakota (200264) and active in the NPI registry since July 2024. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1699503102
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameNICOLE BETTENDORFCredential: FNP
Location Address817 3RD STLangdon, ND 58249-2641
Mailing Address817 3rd StLangdon, ND 58249-2641 · (701) 888-9118 · Fax (701) 999-9974
Phone(701) 888-9118
Fax(701) 999-9974
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateJuly 25, 2024
Last NPPES UpdateJanuary 17, 20263 updates tracked since enumeration
NPPES CertifiedJanuary 17, 2026
✔ NPI 1699503102 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 · 200264
817 3RD ST, Langdon, ND 58249
Open in Google Maps ↗

Other Names 1

Former Name (1)Nicole Freeman

Secondary Practice Locations 2

Location 1909 2nd StLangdon, ND 58249-2407 · Phone (701) 256-6100
Location 2901 2nd StLangdon, ND 58249-2407 · Phone (701) 256-6120

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Nicole Bettendorf Fnp 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 ID7012458755
PECOS Enrollment IDI20240920001617
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.

Medicare Billing Reassignments

3

Medicare enrollment records show Nicole Bettendorf reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Nicole Bettendorf PLLC
Same address
Clinic/Center
817 3RD ST
Langdon, ND 58249
  • Reassigned Medicare billing, North Dakota enrollment
NPI 1306638689 (701) 888-9118
Cavalier County Memorial Hospital Association
0.2 mi
Clinic/Center
909 2ND ST
Langdon, ND 58249
  • Reassigned Medicare billing, North Dakota enrollment
  • 29 clinicians in this Medicare group
NPI 1336201433 (701) 256-6100
Medallus & Vacharothone Ltd
128 mi
Family Medicine
721 1ST AVE S UNIT A
Jamestown, ND 58401
  • Reassigned Medicare billing, North Dakota enrollment
  • 22 clinicians in this Medicare group
NPI 1710496310 (877) 633-9110

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 58249 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

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

NICOLE BETTENDORF PLLC
Clinic/Center
817 3RD ST
LANGDON, ND 58249
Cavalier County (701) 888-9118

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's NPI number?

The NPI number for Nicole Bettendorf is 1699503102. It was assigned to this individual provider in the NPPES registry on July 25, 2024. The provider is also known as Nicole Freeman.

Where is Nicole Bettendorf located?

Nicole Bettendorf practices at 817 3rd St, Langdon, ND 58249. The listed phone number is (701) 888-9118.

What is Nicole Bettendorf's specialty?

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

Is Nicole Bettendorf enrolled in Medicare?

Yes. Nicole Bettendorf 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.

Which organizations bill Medicare for Nicole Bettendorf's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nicole Bettendorf reassigns Medicare benefits to 3 organizations: Nicole Bettendorf PLLC (Langdon, ND), Cavalier County Memorial Hospital Association (Langdon, ND) and Medallus & Vacharothone Ltd (Jamestown, ND). Each 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 Nicole Bettendorf's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Nicole Bettendorf 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.