Individual provider Active NPI

James Nicholas Jennings, DO

  • Family Medicine Physician
  • Florence, MT
National Provider Identifier
1003312604
Registry record updated Sep 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MED-PHYS-LIC-127892 Issued in MT
Practice address
5549 US Highway 93 N
Florence, MT 59833-6845
Phone
(406) 273-4923
Fax
(406) 329-4174
NPI assigned
Apr 3, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 032.0134072 VT
Family Medicine Physician 207Q00000X 309431 NY
Family Medicine Physician 207Q00000X MED-PHYS-LIC-127892 MT Primary

Addresses

Primary practice location

5549 US Highway 93 N
Florence, MT 59833-6845

Mailing address

PO Box 12
Liberty Lake, WA 99019-0012
Phone (866) 747-2455

Other practice location 1

1 Foxcare Dr
Oneonta, NY 13820-2099
Phone (607) 431-5290

Other practice location 2

130 Fisher Rd
Berlin, VT 05602-9516
Phone (802) 471-2100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, MT2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20210825002198 NY Practitioner - HospitalistPractitioner - Family Practice 9234565391 Reassigns benefits to 1 organization
I20230825000884 MT Practitioner - Family Practice 9234565391 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
HospitalistAlso: Family Practice
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Glens Falls Hospital IncGroup PAC ID 8325955974, 175 clinicians

Practice addresses (Care Compare)

100 Park St
Glens Falls, NY 12801-4413
Phone (518) 926-1000

Hospital & facility affiliations

  • Glens Falls Hospital Hospital, Glens Falls, NY, CCN 330191
  • St. Patrick Hospital Hospital, Missoula, MT, CCN 270014

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
MED-PHYS-LIC-127892MTMDFamily Medicine Physician
309431NYMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Partnership Health Center Inc CurrentSince Aug 11, 2024 Accepting new patients
Glens Falls Hospital Inc. Family Medicine CurrentSince Aug 1, 2025 Accepting new patients
Glens Falls Hospital Inc CurrentSince Aug 1, 2025 Accepting new patients
Partnership Health Center Inc CurrentSince Aug 11, 2024 Accepting new patients
Partnership Health Center Inc Family Medicine Current Accepting new patients
Glens Falls Hospital Inc Past Accepting new patients

Locations

401 Railroad St W
Missoula, MT 59802
Phone (406) 258-4183

323 W Alder St
Missoula, MT 59802
Phone (406) 258-4195

500 W Broadway St
Ste 320
Missoula, MT 59802
Phone (406) 329-2945

100 Park St
Glens Falls, NY 12801
Phone (518) 926-5924

79 North St
Granville, NY 12832
Phone (518) 642-0612

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 5

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": "1522713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694044800000",
    "number": "1003312604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 12",
            "city": "LIBERTY LAKE",
            "state": "WA",
            "postal_code": "990190012",
            "telephone_number": "866-747-2455",
            "fax_number": "406-329-2659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5549 US HIGHWAY 93 N",
            "city": "FLORENCE",
            "state": "MT",
            "postal_code": "598336845",
            "telephone_number": "406-273-4923",
            "fax_number": "406-329-4174"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Foxcare Dr",
            "address_purpose": "LOCATION",
            "city": "Oneonta",
            "state": "NY",
            "postal_code": "138202099",
            "country_code": "US",
            "telephone_number": "607-431-5290",
            "fax_number": "607-431-5439",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "130 Fisher Rd",
            "address_purpose": "LOCATION",
            "city": "Berlin",
            "state": "VT",
            "postal_code": "056029516",
            "country_code": "US",
            "telephone_number": "802-471-2100",
            "fax_number": "607-547-6195",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JENNINGS",
        "first_name": "JAMES",
        "middle_name": "NICHOLAS",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-04-03",
        "last_updated": "2023-09-07",
        "certification_date": "2023-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VT",
            "license": "032.0134072",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "309431",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MT",
            "license": "MED-PHYS-LIC-127892",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Florence, MT

Sources for this page

Verify at the official NPI Registry.