Individual provider Active NPI

Julie S Henningsen, PA-C

  • Physician Assistant
  • Bozeman, MT
National Provider Identifier
1043581952
Registry record updated Oct 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
13448 Issued in MT
Practice address
714 Stoneridge Dr Ste 1
Bozeman, MT 59718-7046
Phone
(406) 209-8711
Fax
(844) 308-5799
NPI assigned
Jan 24, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2025

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 13448 MT Primary

Addresses

Primary practice location

714 Stoneridge Dr Ste 1
Bozeman, MT 59718-7046

Mailing address

714 Stoneridge Dr Ste 1
Bozeman, MT 59718-7046
Phone (406) 209-8711

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
I20120330000596 MT Practitioner - Physician Assistant 2860652674 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3737 Grand Ave
Suite 6
Billings, MT 59102-6258

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant, Doctor of Philosophy

Practice roles

OrganizationSpecialtyStatusNew patients
Bridger Peaks Counseling & Recovery Services LLC. CurrentSince Sep 1, 2025 Accepting new patients

Locations

714 Stoneridge Dr
Ste 1
Bozeman, MT 59718
Phone (406) 209-8711

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.

NPI Registry JSON

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

{
    "created_epoch": "1327363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759881600000",
    "number": "1043581952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "714 STONERIDGE DR STE 1",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597187046",
            "telephone_number": "406-209-8711",
            "fax_number": "844-308-5799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "714 STONERIDGE DR STE 1",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597187046",
            "telephone_number": "406-209-8711",
            "fax_number": "844-308-5799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENNINGSEN",
        "first_name": "JULIE",
        "middle_name": "S",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-01-24",
        "last_updated": "2025-10-08",
        "certification_date": "2025-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MT",
            "license": "13448",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bozeman, MT

Sources for this page

Verify at the official NPI Registry.