Individual provider Active NPI

Alicia Sharon Hettel, APRN

  • Nurse Practitioner
  • Butte, MT
National Provider Identifier
1013778893
Registry record updated Jan 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
NUR-APRN-LIC-188967 Issued in MT
Practice address
305 W Porphyry St Ste 1
Butte, MT 59701-2000
Phone
(406) 723-2961
NPI assigned
Jan 19, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X NUR-APRN-LIC-188967 MT
Women's Health Nurse Practitioner 363LW0102X NUR-APRN-LIC-188967 MT
Nurse Practitioner 363L00000X NUR-APRN-LIC-188967 MT Primary

Addresses

Primary practice location

305 W Porphyry St Ste 1
Butte, MT 59701-2000

Mailing address

305 W Porphyry St Ste 1
Butte, MT 59701-2000
Phone (406) 723-2961

Other practice location 1

400 S Clark St
Butte, MT 59701-2328
Phone (406) 723-2500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240305001852 MT Practitioner - Nurse Practitioner 8022453661 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
NUR-APRN-LIC-188967MTMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
SCL Health Medical Group - Billings, LLC CurrentSince May 30, 2024 Accepting new patients
SCL Health Medical Group - Billings LLC Current Accepting new patients
SCL Health Medical Group-Butte LLC CurrentSince Feb 20, 2024 Accepting new patients
SCL Health Medical Group-Butte LLC CurrentSince Feb 20, 2024 Accepting new patients
SCL Health Montana Current Accepting new patients
SCL Health Medical Group - Billings LLC CurrentSince May 30, 2024 Accepting new patients
Peak Health & Wellness, LLC PastSince Dec 27, 2021 Accepting new patients

Locations

500 Eldorado Blvd
Ste 4300
Broomfield, CO 80021

2019 Broadwater Ave
Billings, MT 59102
Phone (406) 237-5200

1041 N 29th St
Billings, MT 59101
Phone (303) 237-5577

1233 N 30th St
Billings, MT 59101
Phone (406) 237-3850

305 W Porphyry St
Ste 1
Butte, MT 59701
Phone (406) 723-2961

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

305 W Porphyry St
#100
Butte, MT 59701
Phone (406) 723-2961

16 N Miles Ave
Hardin, MT 59034
Phone (406) 665-2205

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1705622400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705622400000",
    "number": "1013778893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 W PORPHYRY ST STE 1",
            "city": "BUTTE",
            "state": "MT",
            "postal_code": "597012000",
            "telephone_number": "406-723-2961"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 W PORPHYRY ST STE 1",
            "city": "BUTTE",
            "state": "MT",
            "postal_code": "597012000",
            "telephone_number": "406-723-2961"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "400 S Clark St",
            "address_purpose": "LOCATION",
            "city": "Butte",
            "state": "MT",
            "postal_code": "597012328",
            "country_code": "US",
            "telephone_number": "406-723-2500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HETTEL",
        "first_name": "ALICIA",
        "middle_name": "SHARON",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-01-19",
        "last_updated": "2024-01-19",
        "certification_date": "2024-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "MT",
            "license": "NUR-APRN-LIC-188967",
            "primary": false
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "MT",
            "license": "NUR-APRN-LIC-188967",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MT",
            "license": "NUR-APRN-LIC-188967",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Butte, MT

Sources for this page

Verify at the official NPI Registry.