Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jacquelyn Haugen

Individual provider Family Nurse Practitioner · NPI 1558022962

Jacquelyn Haugen is a Nurse Practitioner in Bismarck, North Dakota. Qualified in 2020, 6 years ago. Practices with Innovis Health LLC, a 573-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in North Dakota.

Years since qualifying
6
Licensed in
ND
In the registry since
2022
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Practice location Address checks out

1000 E Rosser Ave
Bismarck, ND 58501-4414
Phone: (701) 712-4500
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 900 E Broadway Ave, Bismarck, ND 58501-4520 — (701) 530-7000

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence R36541 (ND)

Record details

NPI number1558022962
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJanuary 7, 2022
Last updated in NPPESJune 14, 2023
Certification dateJune 14, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Innovis Health Llc — 573 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Bismarck