Individual provider Active NPI

Jolene Engelhart, NP

  • Nurse Practitioner
  • Richardton, ND
National Provider Identifier
1952454829
Registry record updated Mar 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
R23250 Issued in ND
Practice address
215 3Rd Ave W
Richardton, ND 58652-7109
Phone
(701) 974-3372
Fax
(701) 974-3220
NPI assigned
Jan 22, 2007
Last updated
Mar 1, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X R23250 ND Primary

Addresses

Primary practice location

215 3Rd Ave W
Richardton, ND 58652-7109

Mailing address

215 3Rd Ave W
Richardton, ND 58652-7109
Phone (701) 974-3372

Other identifiers 2

IdentifierTypeStateIssuer
P00767212OtherNDRR MEDICARE
19826MedicaidND

Other names 1

  • Jolene Flemmer Former name

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20051024000630 ND Practitioner - Nurse Practitioner 1052337516 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jacobson Memorial Hospital Care CenterGroup PAC ID 2466363981, shared by 5 NPIs, 16 clinicians

Practice addresses (Care Compare)

603 E St N
Elgin, ND 58533-7105
Phone (701) 584-3338

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Richardton Health Center, Inc. Past Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1169424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677628800000",
    "number": "1952454829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 3RD AVE W",
            "city": "RICHARDTON",
            "state": "ND",
            "postal_code": "586527109",
            "telephone_number": "701-974-3372",
            "fax_number": "701-974-3220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 3RD AVE W",
            "city": "RICHARDTON",
            "state": "ND",
            "postal_code": "586527109",
            "telephone_number": "701-974-3372",
            "fax_number": "701-974-3220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ENGELHART",
        "first_name": "JOLENE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-22",
        "last_updated": "2023-03-01",
        "certification_date": "2023-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "ND",
            "license": "R23250",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00767212",
            "state": "ND"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "19826",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JOLENE",
            "last_name": "FLEMMER",
            "credential": "NP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Richardton, ND

Sources for this page

Verify at the official NPI Registry.