Jacquelyn Haugen, - Medicare Nurse Practitioner in Bismarck, ND

Jacquelyn Haugen, is a medicare enrolled "Nurse Practitioner - Family" in Bismarck, North Dakota. She graduated from nursing school in 2020 and has 4 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Innovis Health Llc and her current practice location is 1000 E Rosser Ave, Bismarck, North Dakota. You can reach out to her office (for appointments etc.) via phone at (701) 712-4500.

Jacquelyn Haugen is licensed to practice in North Dakota (license number R36541) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1558022962.

Contact Information

Jacquelyn Haugen,
1000 E Rosser Ave,
Bismarck, ND 58501-4414
(701) 712-4500
Not Available



Provider's Profile

Full NameJacquelyn Haugen
GenderFemale
SpecialityNurse Practitioner
Experience4 Years
Location1000 E Rosser Ave, Bismarck, North Dakota
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Jacquelyn Haugen graduated from nursing school in 2020
  NPI Data:
  • NPI Number: 1558022962
  • Provider Enumeration Date: 01/07/2022
  • Last Update Date: 06/14/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 7911392394
  • Enrollment ID: I20220322000961

Medical Identifiers

Medical identifiers for Jacquelyn Haugen such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1558022962NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family R36541 (North Dakota)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Chi St Alexius HealthBismarck, NDHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Innovis Health Llc9931298155473

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Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Jacquelyn Haugen allows following entities to bill medicare on her behalf.
Entity NameMid Dakota Clinic, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1275587826
PECOS PAC ID: 9638072895
Enrollment ID: O20040127001063

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Entity NameInnovis Health Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1215125463
PECOS PAC ID: 9931298155
Enrollment ID: O20071211000158

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Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jacquelyn Haugen is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Jacquelyn Haugen,
401 N 9th St,
Bismarck, ND 58501-4506

Ph: (701) 712-4500
Jacquelyn Haugen,
1000 E Rosser Ave,
Bismarck, ND 58501-4414

Ph: (701) 712-4500

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Nurse Practitioner Nurses in Bismarck, ND

Sarah Miller,
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 222 N 7th St, Bismarck, ND 58501
Phone: 701-323-5422    Fax: 701-323-8645
Danette Pengilly, GNP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 310 N 10th St, Bismarck, ND 58501
Phone: 701-530-7500    Fax: 701-530-7484
Jana Rakowski, NP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1040 Tacoma Ave, Bismarck, ND 58504
Phone: 701-323-7452    Fax: 701-323-6982
Mrs. Christina R Gisvold, FNP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 300 N 7th St, Bismarck, ND 58501
Phone: 701-323-6000    
Lee Ann June Short, NP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 300 N 7th St, Bismarck, ND 58501
Phone: 701-204-1709    
Rebecca L Ritter, NP-C
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 1000 E Rosser Ave, Bismarck, ND 58501
Phone: 701-530-6000    Fax: 701-530-6430
Cheryle K Bitz, MSN, ARNP, GNP-BC
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 900 E Broadway Ave, Bismarck, ND 58501
Phone: 701-530-7300    Fax: 701-530-7319

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