Individual provider Active NPI

Emerald Noelle Buzzell, FNP

  • Family Nurse Practitioner
  • Missoula, MT
National Provider Identifier
1043882699
Registry record updated Mar 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
NUR-APRN-LIC-176635 Issued in MT
Practice address
3031 Russell St.
Missoula, MT 59801-8523
Phone
(406) 728-5841
NPI assigned
Jul 13, 2021
Last updated
Mar 22, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 22, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
F03211176OtherAANP FAMILY NURSE PRACTITIONER CERTIFICATION
NUR-APRN-LIC-176635OtherMTNURSE PRACTITIONER LICENSE NUMBER

Electronic endpoints 1

TypeEndpointUseAffiliation
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

LicenseStateTypeSpecialty
NUR-APRN-LIC-176635MTMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Costcare, PLLC CurrentSince Aug 27, 2023 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

  • Direct secure messaging: 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.

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.

Verify at the official NPI Registry.