Rebecca Faith Ellens, DNP, APRN, CPNP-PC

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

NUR-APRN-LIC-198093 Issued in MT

Practice address

280 W Kagy Blvd Ste G
Bozeman, MT 59715-6056

Phone

(406) 587-5870

Fax

(406) 522-1536

NPI assigned

Sep 28, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Rebecca Faith Sandstrom Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/JGIGAA/Endpoint/JGIGAA

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.

• Hatch Pediatrics LLC

  • Pediatrics Physician
  • Bozeman, MT
  • NPI 1073974135
  NPD (past)
• Hatch Urgent Care

  • Pediatrics Physician
  • Bozeman, MT
  • NPI 1023710597
  NPD (past)

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

{
    "created_epoch": "1664323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664323200000",
    "number": "1003530668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "280 W KAGY BLVD STE G",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597156056",
            "telephone_number": "406-587-5870",
            "fax_number": "406-522-1536"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "280 W KAGY BLVD STE G",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597156056",
            "telephone_number": "406-587-5870",
            "fax_number": "406-522-1536"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLENS",
        "first_name": "REBECCA",
        "middle_name": "FAITH",
        "name_prefix": "Dr.",
        "credential": "DNP, APRN, CPNP-PC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-28",
        "last_updated": "2022-09-28",
        "certification_date": "2022-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "MT",
            "license": "NUR-APRN-LIC-198093",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "REBECCA",
            "last_name": "SANDSTROM",
            "middle_name": "FAITH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Elizabeth Angwin LCSW LLC
• Kelsey Lau Elkins, APRN FNP
• Krista Lena Elkins, RN
• Markie Ell
• Jeffrey K. Ellens, PH.D.
• Ellie Brennan Nutrition Counseling
• Derek Ellingsen
• Danika Delich Ellington, PT
• Kirsten Elliott
• Faith Ellis

• Pediatric Nurse Practitioner in Bozeman, MT
• Providers in Bozeman, MT by specialty
• Pediatric Nurse Practitioner in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.