Active NPI
North Central Primary Care Associates
- Pediatrics Physician
- Great Falls, MT
National Provider Identifier
1053341222
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- Legal business name
- NORTH CENTRAL PRIMARY CARE ASSOCIATES
- Practice address
- 400 13TH Ave S Ste 206
Great Falls, MT 59405-4300 - Phone
- (406) 771-7300
- NPI assigned
- Jul 4, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Stacey L Pederson
- Title
- Practice Manager
- Phone
- (406) 771-7300
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | |||
| Pediatrics Physician | 208000000X | Primary |
Addresses
Primary practice location
400 13TH Ave S Ste 206
Great Falls, MT 59405-4300
Mailing address
400 13TH Ave S Ste 206
Great Falls, MT 59405-4300
Phone (406) 771-7300
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151971200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1757548800000",
"number": "1053341222",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "400 13TH AVE S STE 206",
"city": "GREAT FALLS",
"state": "MT",
"postal_code": "594054300",
"telephone_number": "406-771-7300"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 13TH AVE S STE 206",
"city": "GREAT FALLS",
"state": "MT",
"postal_code": "594054300",
"telephone_number": "406-771-7300"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NORTH CENTRAL PRIMARY CARE ASSOCIATES",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-04",
"last_updated": "2025-09-11",
"status": "A",
"authorized_official_last_name": "PEDERSON",
"authorized_official_first_name": "STACEY",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "PRACTICE MANAGER",
"authorized_official_telephone_number": "406-771-7300"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pediatrics",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Great Falls, MT
- Michelle Rae Nieset, D.D.S
- Mary B Noland, LMT
- April Michelle Nolz, OTR/L
- Jami Nooney, FNP-C
- Susan Alison Norman, MT
- Northcentral Learning Resource Center
- Northern Lights Physical Therapy and Wellness Inc
- Northern Lights Physical Therapy, LLC
- Northern Montana Oral / Maxillofacial Surgery
- Northern Montana Oral Surgery
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.