Individual provider Active NPI

April Haugrose, NP

  • Nurse Practitioner
  • Williston, ND
National Provider Identifier
1376099424
Registry record updated Aug 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
R39903 Issued in ND
Practice address
1500 14TH St W Ste 300
Williston, ND 58801
Phone
(701) 774-7500
NPI assigned
Aug 29, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X NUR-APRN-LIC-104610 MT
Adult Health Nurse Practitioner 363LA2200X R39903 ND
Family Nurse Practitioner 363LF0000X 104610 MT
Nurse Practitioner 363L00000X R39903 ND Primary

Addresses

Primary practice location

1500 14TH St W Ste 300
Williston, ND 58801

Mailing address

1301 15TH Ave W
Williston, ND 58801-3821
Phone (701) 774-7400

Other identifiers 1

IdentifierTypeStateIssuer
1476954MedicaidND

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160930000546 MT Practitioner - Nurse Practitioner 4880981349 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
NUR-APRN-LIC-104610MTMDNurse Practitioner
R39903NDMDNurse Practitioner
104610MTMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Bighorn Valley Health Center Incorporated CurrentSince Jul 28, 2020 Accepting new patients
Bighorn Valley Health Center, Incorporated CurrentSince Jul 28, 2020 Accepting new patients
Bighorn Valley Health Center Incorporated Current Accepting new patients

Locations

10 4th St W
Ste B
Hardin, MT 59034
Phone (406) 237-5845

305 S 4th St
Miles City, MT 59301
Phone (406) 234-4724

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1472428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564963200000",
    "number": "1376099424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 15TH AVE W",
            "city": "WILLISTON",
            "state": "ND",
            "postal_code": "588013821",
            "telephone_number": "701-774-7400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 14TH ST W STE 300",
            "city": "WILLISTON",
            "state": "ND",
            "postal_code": "58801",
            "telephone_number": "701-774-7500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAUGROSE",
        "first_name": "APRIL",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-29",
        "last_updated": "2019-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MT",
            "license": "NUR-APRN-LIC-104610",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "ND",
            "license": "R39903",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MT",
            "license": "104610",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "ND",
            "license": "R39903",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1476954",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Williston, ND

Sources for this page

Verify at the official NPI Registry.