NPIMap

Individual provider Active NPI

Elizabeth Ann Church, NP

  • Family Nurse Practitioner
  • Butte, MT
National Provider Identifier
1013519008
Registry record updated Jul 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
NUR-APRN-LIC-165085 Issued in MT
Practice address
1255 W Side Blvd
Butte, MT 59701-2209
Phone
(406) 490-9664
NPI assigned
Nov 13, 2020
Last updated
Jul 23, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 23, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X NUR-APRN-LIC-165085 MT Primary

Addresses

Primary practice location

1255 W Side Blvd
Butte, MT 59701-2209

Mailing address

1255 W Side Blvd
Butte, MT 59701-2209

Other practice location 1

600 Mt Highway 91 S
Dillon, MT 59725-7379
Phone (406) 683-3000

Other practice location 2

305 N Main St. Ennis
Ennis, MT 59729-8001
Phone (406) 682-6862

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address echurch1007214@wm.providencedirect.org

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201223000620 MT Practitioner - Nurse Practitioner 6507278116 Reassigns benefits to 8 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rural Health Pain Management LLCGroup PAC ID 8921410341, 35 clinicians
Madison Valley Hospital IncGroup PAC ID 7719890987, shared by 3 NPIs, 13 clinicians
Ruby Valley HospitalGroup PAC ID 6406764018, shared by 4 NPIs, 18 clinicians

Practice addresses (Care Compare)

112 E Commercial Ave
Anaconda, MT 59711-2245
Phone (503) 803-6202

217 N Main St
Ennis, MT 59729-8007

305 N Main St
Ennis, MT 59729-8001
Phone (406) 682-6862

321 Madison St
Sheridan, MT 59749-0336

321 Madison St
Sheridan, MT 59749-9636
Phone 40684254531001

PO Box
Suite 647
Ennis, MT 59729-0647

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
NUR-APRN-LIC-165085MTMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Community Hospital of Anaconda CurrentSince Jan 1, 2021 Accepting new patients
Ruby Valley Hospital CurrentSince Jan 1, 2021 Accepting new patients
Ruby Valley Hospital Current Accepting new patients
Community Hospital of Anaconda Current Accepting new patients
Rural Health Pain Management LLC CurrentSince Sep 16, 2024 Accepting new patients
Barrett Hospital Development Corporation CurrentSince Mar 1, 2021 Accepting new patients
Barrett Hospital Development Corporation CurrentSince Jan 1, 2026 Accepting new patients
Barrett Hospital Development Corporation CurrentSince Mar 1, 2021 Accepting new patients
SCL Health Medical Group-Butte LLC Current Accepting new patients
Community Hospital of Anaconda Current Accepting new patients
Community Hospital of Anaconda CurrentSince Jan 1, 2021 Accepting new patients
SCL Health Medical Group-Butte LLC CurrentSince Dec 1, 2020 Accepting new patients
Barrett Hospital Development Corporation Past Accepting new patients
Ruby Valley Hospital Past Accepting new patients
Ruby Valley Hospital Past Accepting new patients
Community Hospital of Anaconda Past Accepting new patients

Locations

112 E Commercial Ave
Anaconda, MT 59711
Phone (406) 490-0124

305 W Pennsylvania Ave
Anaconda, MT 59711
Phone (406) 563-8571

401 W Pennsylvania Ave
Anaconda, MT 59711
Phone (406) 563-5261

400 S Clark St
Butte, MT 59701
Phone (406) 495-7260

435 S Crystal St
Ste 400
Butte, MT 59701
Phone (406) 496-3456

30 MT Highway 91 S
Dillon, MT 59725
Phone (406) 414-5070

600 MT Highway 91 S
Dillon, MT 59725
Phone (406) 683-3001

Interoperability endpoints

  • Direct secure messaging: echurch1007214@wm.providencedirect.org
  • FHIR API: https://fhir-usa.unify.chbase.com/org/rubyval-79c95800

Organizations & group practices 16

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

View all 16

Hospital & facility affiliations 12

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": "1605225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784764800000",
    "number": "1013519008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1255 W SIDE BLVD",
            "city": "BUTTE",
            "state": "MT",
            "postal_code": "597012209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1255 W SIDE BLVD",
            "city": "BUTTE",
            "state": "MT",
            "postal_code": "597012209",
            "telephone_number": "406-490-9664"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "600 Mt Highway 91 S",
            "address_purpose": "LOCATION",
            "city": "Dillon",
            "state": "MT",
            "postal_code": "597257379",
            "country_code": "US",
            "telephone_number": "406-683-3000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "305 N Main St. Ennis",
            "address_purpose": "LOCATION",
            "city": "Ennis",
            "state": "MT",
            "postal_code": "597298001",
            "country_code": "US",
            "telephone_number": "406-682-6862",
            "fax_number": "406-682-4756",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHURCH",
        "first_name": "ELIZABETH",
        "middle_name": "ANN",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-11-13",
        "last_updated": "2026-07-23",
        "certification_date": "2026-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MT",
            "license": "NUR-APRN-LIC-165085",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "echurch1007214@wm.providencedirect.org",
            "affiliation": "N",
            "address_1": "600 Mt Highway 91 S",
            "city": "Dillon",
            "state": "MT",
            "country_code": "US",
            "postal_code": "597257379",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Butte, MT

Sources for this page

Verify at the official NPI Registry.