Providence St Joseph Medical Center
A Medicare group practice based in Polson, MT: 6 NPIs enrolled under one PECOS associate control ID (PAC ID 0446230247), with 134 clinicians.
Medicare enrollment
Medicare enrollment files- PAC ID
- 0446230247
- Provider type
- Part A Provider - Critical Access Hospital, Part A Provider - Rural Health Clinic, Part B Supplier - Clinic/Group Practice
- Enrolled in
- MT
- Enrollments
- 5
- Group size
- 52 clinicians
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Practice locations
- 9
Enrollment records 5
| Enrollment ID | State | Provider type | NPI |
|---|---|---|---|
| O20040910001134 | MT | Part B Supplier - Clinic/Group Practice | 1669655528 |
| O20071001000198 | MT | Part A Provider - Critical Access Hospital | 1992853881 |
| O20061104000680 | MT | Part A Provider - Critical Access Hospital | 1821184888 |
| O20100216000169 | MT | Part A Provider - Rural Health Clinic | 1730417452 |
| O20100219000280 | MT | Part A Provider - Rural Health Clinic | 1609104165 |
NPIs in this group 6
NPPES NPI RegistryThese NPI records belong to the same enrolled organization. Each has its own page.
-
Providence St Joseph Medical Center
- Rural Health Clinic/Center
- Polson, MT
- NPI 1609104165
-
Providence St Joseph Medical Center
- Family Medicine Physician
- Polson, MT
- NPI 1669655528
-
Providence St Joseph Medical Center
- Rural Health Clinic/Center
- Ronan, MT
- NPI 1730417452
-
Providence St Joseph Medical Center
- Critical Access Hospital
- Polson, MT
- NPI 1821184888
-
Providence St Joseph Medical Center
- Critical Access Hospital
- Polson, MT
- NPI 1992853881
-
Providence St Joseph Medical Center
- Medical Specialty Clinic/Center
- Polson, MT
- NPI 1548394836
Practice locations
- Polson, MT6
- Ronan, MT2
- Missoula, MT1
Merit-based Incentive Payment System (MIPS)
Medicare Care Compare- Final score
- 96.26 of 100
- Quality
- 84.3
- Promoting interoperability
- 100
- Improvement activities
- 40
Clinicians 134
Clinicians who reassign their Medicare benefits to this group (124) or whom Care Compare lists as members (52).
-
Ryan D Adams, MD
- Internal Medicine Physician
- Missoula, MT
- NPI 1790952653
-
Matthew Andersen, PA
- Cardiovascular Disease Physician
- Seattle, WA
- NPI 1669444774
-
Emily Anderson
- Family Medicine Physician
- Ronan, MT
- NPI 1750744942
-
Matthew J Anderson, FNP
- Family Nurse Practitioner
- Missoula, MT
- NPI 1497095210
-
Matthew Joseph Anderson
- Orthopaedic Surgery Physician
- Polson, MT
- NPI 1033641550
-
Molly Lenhart Anderson, PA-C
- Physician Assistant
- Missoula, MT
- NPI 1750797676
-
Andrew David Ashford, PA-C
- Medical Physician Assistant
- Missoula, MT
- NPI 1124422506
-
Kelly Garver Bagnell, M. D.
- Obstetrics Physician
- Polson, MT
- NPI 1558390617
-
Michael A. Basnight, M.D.
- Cardiovascular Disease Physician
- Venice, FL
- NPI 1467453696
-
Elizabeth Nicole Bassler, LCSW
- Clinical Social Worker
- Polson, MT
- NPI 1932601796
-
Paul Michael Berkram, M.D.
- Pediatrics Physician
- Bozeman, MT
- NPI 1952469140
-
Bradley D Berry, MD
- Cardiovascular Disease Physician
- Missoula, MT
- NPI 1326083023
-
Eugene Beville
- Emergency Medicine Physician
- Polson, MT
- NPI 1093255879
-
Krista Bree Birkelo, DO
- Emergency Medicine Physician
- Spearfish, SD
- NPI 1649435165
-
Rebecca Leah Bontadelli, MD
- Emergency Medicine Physician
- Akron, OH
- NPI 1275729519
-
Brittany Leigh Borman, PA-C
- Physician Assistant
- Polson, MT
- NPI 1538700893
-
Louis Brenner, M.D.
- Family Medicine Physician
- Upland, CA
- NPI 1003852815
-
Louis Conrad Brenner, PA-C
- Physician Assistant
- Polson, MT
- NPI 1609205905
-
Kenneth C Brewington II, MD
- Neurological Surgery Physician
- Missoula, MT
- NPI 1154315695
-
Darren Brockie, M.D.
- Emergency Medicine Physician
- Polson, MT
- NPI 1043639164
-
Cody Brown
- Family Medicine Physician
- Gainesville, FL
- NPI 1144806779
-
Cody Brown, PA-C
- Physician Assistant
- Polson, MT
- NPI 1598837239
-
Scott D Burry, MD
- Emergency Medicine Physician
- Kalispell, MT
- NPI 1134196298
-
Alexander Mark Busko, MD, MPH
- Critical Care Medicine (Anesthesiology) Physician
- Lawrenceville, GA
- NPI 1639668916
-
Stephen S. Campbell, M.D.
- Neurological Surgery Physician
- Kalispell, MT
- NPI 1174535132
-
Kathryn Olsen Cockerham, M.D.
- Emergency Medicine Physician
- Roosevelt, UT
- NPI 1215100839
-
George Judson Corn, MD
- Emergency Medicine Physician
- Tucson, AZ
- NPI 1770923104
-
Elizabeth Cornelius, PA-C
- Physician Assistant
- Missoula, MT
- NPI 1619314622
-
Billy L. Cunnington, PA-C
- Medical Physician Assistant
- Clackamas, OR
- NPI 1710943402
-
Mark Dalton, D.O.
- Internal Medicine Physician
- Missoula, MT
- NPI 1093782138
-
Michele A Danicich, MD
- Endocrinology, Diabetes & Metabolism Physician
- Missoula, MT
- NPI 1053321273
-
Amy Suzanne Davis, PSY.D.
- Clinical Psychologist
- Missoula, MT
- NPI 1497003354
-
Bryan Davis
- Pain Medicine (Anesthesiology) Physician
- Missoula, MT
- NPI 1205361276
-
Timothy P Donovan, MD
- Emergency Medicine Physician
- Missoula, MT
- NPI 1962581371
-
Michael Lucian Dumouchel, DNP, CRNA, NSPM-C
- Certified Registered Nurse Anesthetist
- Polson, MT
- NPI 1982902367
-
Hannah Dupea, MD
- Family Medicine Physician
- Polson, MT
- NPI 1225488356
-
Nathaniel Elliot Ebersole, DO
- Internal Medicine Physician
- Cleveland, OH
- NPI 1144789165
-
Tony Albert Fantozzi, PA-C
- Medical Physician Assistant
- Libby, MT
- NPI 1346231289
-
Merlin Bardett Fausett, M.D.
- Maternal & Fetal Medicine Physician
- Missoula, MT
- NPI 1659403038
-
Rebecca Filipowicz, PA-C, MS
- Physician Assistant
- Ronan, MT
- NPI 1013319391
-
Tiama E. Friend, M.D.
- Emergency Medicine Physician
- Henderson, NV
- NPI 1528367141
-
Nick John Furlong, MD
- Hospice and Palliative Medicine (Family Medicine) Physician
- Portland, ME
- NPI 1366718579
-
Carl Puzant Garabedian, MD
- Pediatric Cardiology Physician
- Spokane, WA
- NPI 1083666127
-
Phillip A Gardner, MD
- Otolaryngology Physician
- Missoula, MT
- NPI 1003843897
-
Madonna Gartrell, PMHNP
- Psychiatric/Mental Health Nurse Practitioner
- Polson, MT
- NPI 1619372364
-
Wendy Terese Grace, MD
- Family Medicine Physician
- Butte, MT
- NPI 1265743348
-
Benjamin D Grass, M.D.
- Family Medicine Physician
- Ronan, MT
- NPI 1467894121
-
Jordan Guffin, M.D.
- Emergency Medicine Physician
- Missoula, MT
- NPI 1689985376
-
Judith Lynn Gustafson, FNP-C
- Family Nurse Practitioner
- Missoula, MT
- NPI 1851554471
-
Aron Haire, DO
- Emergency Medicine Physician
- Polson, MT
- NPI 1396242392
-
Jeffrey Haller, MD
- Otolaryngology Physician
- Missoula, MT
- NPI 1194712307
-
Danielle Herbst, APRN
- Family Nurse Practitioner
- Missoula, MT
- NPI 1285238873
-
David Lincoln Hess-Homeier, MD
- Emergency Medicine Physician
- Missoula, MT
- NPI 1558821116
-
Alexander Brockman Jehle, MD
- Cardiovascular Disease Physician
- Missoula, MT
- NPI 1790831329
-
Ivy Leverett Jenkins, CRNA
- Certified Registered Nurse Anesthetist
- Nashville, TN
- NPI 1104043082
-
Amy M. Johnson, FNP
- Family Nurse Practitioner
- Polson, MT
- NPI 1386058345
-
Jason Douglas Johnson
- Family Medicine Physician
- Ronan, MT
- NPI 1073044343
-
Leslie Anne Johnson, LCSW
- Clinical Social Worker
- Missoula, MT
- NPI 1750005989
-
Tyler Louis Johnston, MD
- Emergency Medicine Physician
- Toledo, OH
- NPI 1104445253
-
Arfaat Mohammed Khan, M.D.
- Cardiovascular Disease Physician
- Detroit, MI
- NPI 1538379144
-
John Kim, M.D.
- Emergency Medicine Physician
- Whitefish, MT
- NPI 1124384706
-
Jeffrey C Knight, MD
- Internal Medicine Physician
- Missoula, MT
- NPI 1528102399
-
Michael A Kremkau, MD
- Emergency Medicine Physician
- Missoula, MT
- NPI 1417032731
-
Ruslana V Kurpita, M.D.
- Family Medicine Physician
- Polson, MT
- NPI 1376751156
-
Julie L Kuykendall, M.D.
- Obstetrics & Gynecology Physician
- Great Falls, MT
- NPI 1316982044
-
John David Anthony Lakatua, MD
- Nephrology Physician
- Missoula, MT
- NPI 1023063070
-
Benjamin Lawson
- Nephrology Physician
- Missoula, MT
- NPI 1154717775
-
Angela Lemire, PA-C
- Physician Assistant
- Polson, MT
- NPI 1023716362
-
Kevin Lienesch, DNP, CRNA
- Certified Registered Nurse Anesthetist
- Cottonwood, ID
- NPI 1356794721
-
Brooke Lund, CRNA
- Certified Registered Nurse Anesthetist
- Polson, MT
- NPI 1992860944
-
Randall Mack, PA-C
- Physician Assistant
- Plains, MT
- NPI 1346356359
-
James T Maddux, MD
- Interventional Cardiology Physician
- Missoula, MT
- NPI 1942237326
-
Christopher James Maki, MD
- Surgery Physician
- Missoula, MT
- NPI 1871806117
-
Isabel Makman, MD
- Emergency Medicine Physician
- Redmond, OR
- NPI 1548899412
-
Nicholas Alan Mantini
- Clinical Cardiac Electrophysiology Physician
- Missoula, MT
- NPI 1588808646
-
Lorina Kay Massey, APRN
- Psychiatric/Mental Health Nurse Practitioner
- Polson, MT
- NPI 1215187588
-
Mitchell McFarland, CRNA
- Certified Registered Nurse Anesthetist
- Sioux City, IA
- NPI 1326535097
-
Jon Brant McGregor, M. D.
- Cardiovascular Disease Physician
- Missoula, MT
- NPI 1619925575
-
Nichole Marie McKinsey, D,O,
- Family Medicine Physician
- Polson, MT
- NPI 1790046035
-
Scott Everett McMaster, D.O.
- Emergency Medicine Physician
- Toledo, OH
- NPI 1134440506
-
Heidi Maria Meierbachtol, PA-C
- Medical Physician Assistant
- Missoula, MT
- NPI 1972994739
-
Michelle Grace Merchant, M.D.
- Pediatrics Physician
- Kalispell, MT
- NPI 1285052134
-
Taylor Morgan Miles, MD
- Family Medicine Physician
- Pontiac, IL
- NPI 1043665987
-
Leah Ann Miller, M.D.
- Obstetrics & Gynecology Physician
- Olympia, WA
- NPI 1104053859
-
Carrie Lynn Millstead, FNP
- Family Nurse Practitioner
- Stillwater, OK
- NPI 1598442113
-
Morgan Ann Morton, M.D.
- Obstetrics & Gynecology Physician
- Wenatchee, WA
- NPI 1073809729
-
Josh Bernard Moser, PAC
- Physician Assistant
- Missoula, MT
- NPI 1548255813
-
Simone Musco, MD
- Clinical Cardiac Electrophysiology Physician
- Missoula, MT
- NPI 1013181833
-
John Merrill Neathawk, D.O.
- Internal Medicine Physician
- Missoula, MT
- NPI 1134567126
-
Charlotte Nelson, MD
- Internal Medicine Physician
- Missoula, MT
- NPI 1033395546
-
Giang Tuong Nguyen, M.D.
- Internal Medicine Physician
- Pampa, TX
- NPI 1457349839
-
Naomi Onaka
- Emergency Medicine Physician
- Polson, MT
- NPI 1932720224
-
Edwin Stuart Palmer, M.D.
- Pediatrics Physician
- Boston, MA
- NPI 1922426113
-
Jedidiah Allen Petersen, PA
- Physician Assistant
- Polson, MT
- NPI 1366870206
-
Jed Russell Peterson, M.D.
- Vascular & Interventional Radiology Physician
- Portland, OR
- NPI 1164634770
-
Daniel L. Pierce, MD
- Emergency Medicine Physician
- Missoula, MT
- NPI 1669541272
-
Cubby Michael Pierre, MD
- Emergency Medicine Physician
- Tucson, AZ
- NPI 1669964789
-
Sheila Reash, CRNA
- Certified Registered Nurse Anesthetist
- Polson, MT
- NPI 1093755183
-
Chad Ryan Rebo, PA-C
- Physician Assistant
- Salt Lake City, UT
- NPI 1164856886
-
Michael C Reed, MD
- Cardiovascular Disease Physician
- Missoula, MT
- NPI 1346396967
Sources for this page
- Medicare Fee-For-Service Public Provider Enrollment: the enrollments, PAC ID, practice locations and benefit reassignments.
- Care Compare Doctors and Clinicians: group membership, group size and the name CMS shows patients.
- NPPES NPI Registry: the names and addresses of the NPIs above.