NPIMap

Individual provider Active NPI

Sierra Renae Hentges, PA-C

  • Physician Assistant
  • Scobey, MT
National Provider Identifier
1023719861
Registry record updated Mar 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
MED-PAC-LIC-124184 Issued in MT
Practice address
105 5TH Ave E
Scobey, MT 59263-7849
Phone
(406) 487-2263
NPI assigned
Mar 16, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X MED-PAC-LIC-124184 MT Primary

Addresses

Primary practice location

105 5TH Ave E
Scobey, MT 59263-7849

Mailing address

PO Box 400
Scobey, MT 59263-0400
Phone (406) 487-2296

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
I20230328002807 MT Practitioner - Physician Assistant 0749654028 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Daniels Memorial HospitalGroup PAC ID 4880685965, 21 clinicians

Practice addresses (Care Compare)

P O Box
Suite 400
Scobey, MT 59263-0400

PO Box
Suite 400
Scobey, MT 59263

Hospital & facility affiliations

  • Daniels Memorial Hospital Hospital, Scobey, MT, CCN 271342
  • Trinity Hospital Hospital, Wolf Point, MT, CCN 271341
  • Billings Clinic Hospital Hospital, Billings, MT, CCN 270004
  • Daniels Memorial Hospital Nursing home, CCN 27Z342

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Daniels Memorial Hospital CurrentSince Mar 22, 2023 Accepting new patients
Daniels Memorial Hospital CurrentSince Jan 1, 2026 Accepting new patients
Frances Mahon Deaconess Hospital Past Accepting new patients

Organizations & group practices 4

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 11

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": "1678924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678924800000",
    "number": "1023719861",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 400",
            "city": "SCOBEY",
            "state": "MT",
            "postal_code": "592630400",
            "telephone_number": "406-487-2296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 5TH AVE E",
            "city": "SCOBEY",
            "state": "MT",
            "postal_code": "592637849",
            "telephone_number": "406-487-2263"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENTGES",
        "first_name": "SIERRA",
        "middle_name": "RENAE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-16",
        "last_updated": "2023-03-16",
        "certification_date": "2023-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MT",
            "license": "MED-PAC-LIC-124184",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scobey, MT

Sources for this page

Verify at the official NPI Registry.