Nicole Bettendorf, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

200264 Issued in ND

Practice address

817 3Rd St
Langdon, ND 58249-2641

Phone

(701) 888-9118

Fax

(701) 999-9974

NPI assigned

Jul 25, 2024

Last updated

Jan 17, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Nicole Freeman Former name

Medicare fee-for-service enrollment

Enrolled in ND

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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

• Nicole Bettendorf PLLC

  • Clinic/Center
  • Langdon, ND
  • NPI 1306638689
  Medicare reassignment NPD Authorized official
• Cavalier County Memorial Hospital Association

  dba Cavalier County Memorial Hospital & Clinics

  • Critical Access Hospital
  • Langdon, ND
  • NPI 1750328662
  Medicare reassignment NPD
• Karla N Parkes, PLLC

  dba The Little Frontier Clinic

  • Adult Medicine Physician
  • Walhalla, ND
  • NPI 1487416590
  NPD (past)

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

{
    "created_epoch": "1721865600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768608000000",
    "number": "1699503102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "817 3RD ST",
            "city": "LANGDON",
            "state": "ND",
            "postal_code": "582492641",
            "telephone_number": "701-888-9118",
            "fax_number": "701-999-9974"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "817 3RD ST",
            "city": "LANGDON",
            "state": "ND",
            "postal_code": "582492641",
            "telephone_number": "701-888-9118",
            "fax_number": "701-999-9974"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "909 2nd St",
            "address_purpose": "LOCATION",
            "city": "Langdon",
            "state": "ND",
            "postal_code": "582492407",
            "country_code": "US",
            "telephone_number": "701-256-6100",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "901 2nd St",
            "address_purpose": "LOCATION",
            "city": "Langdon",
            "state": "ND",
            "postal_code": "582492407",
            "country_code": "US",
            "telephone_number": "701-256-6120",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BETTENDORF",
        "first_name": "NICOLE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-25",
        "last_updated": "2026-01-17",
        "certification_date": "2026-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "ND",
            "license": "200264",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NICOLE",
            "last_name": "FREEMAN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Barbara Lee Boesl, LPC
• Kenneth Carwile, D.C.
• Catholic Charities North Dakota

• Family Nurse Practitioner in Langdon, ND
• Providers in Langdon, ND by specialty
• Family Nurse Practitioner in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.