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

Madison Jae Hetletved, APRN, CNP

Individual provider Family Medicine Physician · NPI 1588522908

Madison Jae Hetletved, APRN, CNP is a Nurse Practitioner in Bismarck, North Dakota. Qualified in 2025, 1 year ago. Practices with Innovis Health LLC, a 573-clinician group and accepts Medicare assignment. Licensed in North Dakota.

Years since qualifying
1
Licensed in
ND
In the registry since
2026
What do these letters mean?
APRN — Advanced Practice Registered Nurse
The umbrella licence covering nurse practitioners, midwives, anaesthetists and clinical nurse specialists.
CNP — Certified Nurse Practitioner
A certified nurse practitioner.

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Practice location Address checks out

727 Kirkwood Mall
Bismarck, ND 58504-5753
Phone: (701) 712-4501
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 203965 (ND)

Record details

NPI number1588522908
Entity typeIndividual (Type 1)
GenderFemale
Credentials APRN , CNP
Sole proprietorNo
NPI enumeratedJanuary 14, 2026
Last updated in NPPESApril 20, 2026
Certification dateApril 20, 2026

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Innovis Health Llc — 573 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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