Active NPI
Joseph C Chamberlain, CRNA
- Certified Registered Nurse Anesthetist
- Glendive, MT
National Provider Identifier
1013395706
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 175567
- Practice address
- 202 Prospect Dr
Glendive, MT 59330-1999 - Phone
- (406) 345-3306
- NPI assigned
- May 13, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | IN PROCESS | TX | |
| Certified Registered Nurse Anesthetist | 367500000X | 175567 | MT | Primary |
Addresses
Primary practice location
202 Prospect Dr
Glendive, MT 59330-1999
Mailing address
PO Box 844183
Dallas, TX 75284-4183
Phone (855) 654-5262
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MT
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210812000624 | MT | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 7214241066 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Glendive Medical Center Inc
Practice addresses (Care Compare)
202 Prospect Dr
Glendive, MT 59330-1943
Phone (406) 345-3306
Hospital & facility affiliations
- Glendive Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.78 of 100
- Quality
- 80.38
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 175567 | MT | MD | Certified Registered Nurse Anesthetist |
| IN PROCESS | TX | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Glendive Medical Center, Inc | Current | Accepting new patients | |
| Glendive Medical Center, Inc | Current | Accepting new patients | |
| Glendive Medical Center, Inc | Current | Accepting new patients |
Locations
202 Prospect Dr
Glendive, MT 59330
Phone (406) 345-3306
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.
-
- Medicare Defined Swing Bed Hospital Unit
- Glendive, MT
- NPI 1073523635
-
- Rural Health Clinic/Center
- Glendive, MT
- NPI 1215040449
-
- Community Based Hospice Care Agency
- Glendive, MT
- NPI 1366452955
-
- Skilled Nursing Facility
- Glendive, MT
- NPI 1700896941
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Medicare Defined Swing Bed Hospital Unit
- Glendive, MT
- NPI 1073523635
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1431475200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1641168000000",
"number": "1013395706",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 844183",
"city": "DALLAS",
"state": "TX",
"postal_code": "752844183",
"telephone_number": "855-654-5262",
"fax_number": "817-735-0016"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "202 PROSPECT DR",
"city": "GLENDIVE",
"state": "MT",
"postal_code": "593301999",
"telephone_number": "406-345-3306"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHAMBERLAIN",
"first_name": "JOSEPH",
"middle_name": "C",
"name_prefix": "Mr.",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-05-13",
"last_updated": "2022-01-03",
"certification_date": "2022-01-03",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "TX",
"license": "IN PROCESS",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "MT",
"license": "175567",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Glendive, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.