Individual provider Active NPI

Jana M Hall, MD

  • Family Medicine Physician
  • Libby, MT
National Provider Identifier
1063523629
Registry record updated Sep 28, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
10356 Issued in MT
Practice address
320 E 2ND St
Libby, MT 59923-2010
Phone
(406) 283-6900
Fax
(406) 293-6622
NPI assigned
Aug 31, 2006
Last updated
Sep 28, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 10356 MT Primary

Addresses

Primary practice location

320 E 2ND St
Libby, MT 59923-2010

Mailing address

320 E 2ND St
Libby, MT 59923-2010
Phone (460) 283-6900

Other identifiers 1

IdentifierTypeStateIssuer
0063002MedicaidMT

Other names 1

  • Jana M Peters Former name

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070917000460 MT Practitioner - Family Practice 1557455904 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Washington School of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

320 E 2ND St
Libby, MT 59923-2010
Phone (406) 283-6900

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Lincoln County Community Health Center Inc CurrentSince Aug 18, 2003 Accepting new patients
Lincoln County Community Health Center, Inc. CurrentSince Aug 18, 2003 Accepting new patients
Lincoln County Community Health Center, Inc PastSince Feb 8, 2023 Accepting new patients
St. John's Lutheran Hospital, Inc. Past Accepting new patients

Locations

209 Health Park Dr
Libby, MT 59923
Phone (406) 283-7000

308 E 3rd St
Libby, MT 59923
Phone (406) 293-3032

320 E 2nd St
Libby, MT 59923
Phone (406) 283-6900

Interoperability endpoints

  • Direct secure messaging: jana.hall@nwchc.eclinicaldirectplus.com

Organizations & group practices 5

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.

Hospital & facility affiliations 2

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": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1348790400000",
    "number": "1063523629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 E 2ND ST",
            "city": "LIBBY",
            "state": "MT",
            "postal_code": "599232010",
            "telephone_number": "460-283-6900",
            "fax_number": "406-293-6622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 E 2ND ST",
            "city": "LIBBY",
            "state": "MT",
            "postal_code": "599232010",
            "telephone_number": "406-283-6900",
            "fax_number": "406-293-6622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALL",
        "first_name": "JANA",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-31",
        "last_updated": "2012-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MT",
            "license": "10356",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0063002",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JANA",
            "last_name": "PETERS",
            "middle_name": "M",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Libby, MT

Sources for this page

Verify at the official NPI Registry.