Active NPI
Emerald Noelle Buzzell, FNP
- Family Nurse Practitioner
- Missoula, MT
National Provider Identifier
1043882699
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- NUR-APRN-LIC-176635
- Practice address
- 3031 Russell St.
Missoula, MT 59801-8523 - Phone
- (406) 728-5841
- NPI assigned
- Jul 13, 2021
- Last updated
- Mar 22, 2023
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | NUR-APRN-LIC-176635 | MT | Primary |
| Family Medicine Physician | 207Q00000X | NUR-APRN-LIC-176635 | MT |
Addresses
Primary practice location
3031 Russell St.
Missoula, MT 59801-8523
Mailing address
2700 Radio Way
Missoula, MT 59808-1385
Phone (406) 541-6900
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| F03211176 | Other | AANP FAMILY NURSE PRACTITIONER CERTIFICATION | |
| NUR-APRN-LIC-176635 | Other | MT | NURSE PRACTITIONER LICENSE NUMBER |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | https://app.elationpassport.com | Health Information Exchange (HIE) | CostCare, PLLC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| NUR-APRN-LIC-176635 | MT | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Costcare, PLLC | Current | Accepting new patients |
Locations
1001 E Broadway St
Stop 10
Missoula, MT 59802
Phone (406) 721-5513
2700 Radio Way
Missoula, MT 59808
Phone (406) 541-3046
3031 S Russell St
Missoula, MT 59801
Phone (406) 549-0119
Interoperability endpoints
- emerald.buzzell@165427463913476.direct.elationemr.com
Organizations & group practices 1
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.
-
- Primary Care Clinic/Center
- Missoula, MT
- NPI 1710171657
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1626134400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1679443200000",
"number": "1043882699",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2700 RADIO WAY",
"city": "MISSOULA",
"state": "MT",
"postal_code": "598081385",
"telephone_number": "406-541-6900",
"fax_number": "406-541-6901"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3031 RUSSELL ST.",
"city": "MISSOULA",
"state": "MT",
"postal_code": "598018523",
"telephone_number": "406-728-5841"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUZZELL",
"first_name": "EMERALD",
"middle_name": "NOELLE",
"credential": "FNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-07-13",
"last_updated": "2023-03-22",
"certification_date": "2023-03-22",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MT",
"license": "NUR-APRN-LIC-176635",
"primary": true
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MT",
"license": "NUR-APRN-LIC-176635",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AANP FAMILY NURSE PRACTITIONER CERTIFICATION",
"identifier": "F03211176",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NURSE PRACTITIONER LICENSE NUMBER",
"identifier": "NUR-APRN-LIC-176635",
"state": "MT"
}
],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "https://app.elationpassport.com",
"affiliation": "Y",
"endpointDescription": "Charting and encrypted messaging system",
"affiliationName": "CostCare, PLLC",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "1001 E Broadway Ste 10",
"city": "Missoula",
"state": "MT",
"country_code": "US",
"postal_code": "59802",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Missoula, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.