Avery Dawn Henke, FNP-BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

R40373 Issued in ND

Practice address

425 N 5TH St Ste 305
Bismarck, ND 58501-6300

Phone

(701) 426-6765

Fax

(844) 605-1801

NPI assigned

Jul 5, 2022

Last updated

Oct 14, 2025By 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 2

Addresses

Other names 1

• Miss Avery Dawn Haverluk 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

State licenses

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.

• Avery's Health and Wellness

  • Primary Care Nurse Practitioner
  • Bismarck, ND
  • NPI 1376419564
  NPD Authorized official
• Jacobson Memorial Hospital Care Center

  • Critical Access Hospital
  • Elgin, ND
  • NPI 1336196039
  NPD

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

{
    "created_epoch": "1656979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760400000000",
    "number": "1962135368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 N 5TH ST",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585014033",
            "telephone_number": "701-426-6765",
            "fax_number": "844-605-1801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 N 5TH ST STE 305",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585016300",
            "telephone_number": "701-426-6765",
            "fax_number": "844-605-1801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENKE",
        "first_name": "AVERY",
        "middle_name": "DAWN",
        "name_prefix": "Mrs.",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-05",
        "last_updated": "2025-10-14",
        "certification_date": "2025-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "ND",
            "license": "R40373",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "ND",
            "license": "R40373",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AVERY",
            "last_name": "HAVERLUK",
            "middle_name": "DAWN",
            "prefix": "MISS",
            "credential": "NP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Marshall Henderson, MD
• Natalie Henderson
• Corey Hendricks
• Jody Hendrickson
• Ryne Hendrickson, PHARMD
• Micheal Henke, MPAS, PA-C
• Loreilei Henne
• Dawn Henriksen
• Chelsey Henry
• Austin Alexander Henschel

• Family Nurse Practitioner in Bismarck, ND
• Providers in Bismarck, 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 Oct 14, 2025; 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.