Individual provider Active NPI

Christine Marie Walsh, AGNP

  • Gerontology Nurse Practitioner
  • Warm Springs, MT
National Provider Identifier
1073259651
Registry record updated Dec 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
194354 Issued in MT
Practice address
100 Garnet Way
Warm Springs, MT 59756-9705
Phone
(406) 693-7000
Fax
(406) 693-7267
NPI assigned
May 6, 2022
Reactivated
Dec 8, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X 194354 MT Primary

Addresses

Primary practice location

100 Garnet Way
Warm Springs, MT 59756-9705

Mailing address

2217 Amherst Ave # a
Butte, MT 59701-3840
Phone (406) 498-9236

Other practice location 1

2217 Amherst Ave # A
Butte, MT 59701-3840
Phone (406) 498-9236

Other practice location 2

41800 W 11 Mile Rd Ste 109
Novi, MI 48375-1818
Phone (406) 792-3100

Other identifiers 2

IdentifierTypeStateIssuer
1073259651MedicaidMT
NUR-APRN-LIC194354OtherMTBOARD OF NURSING

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
I20230420000654 MT Practitioner - Nurse Practitioner 4385009604

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1554 Harrison Ave
Suite C
Butte, MT 59701-4858

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
194354MTMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Trek Homecare CurrentSince Oct 24, 2025 Accepting new patients
Senior Solutions Inc Adult Medicine CurrentSince Oct 24, 2025 Accepting new patients
Aim Healthcare Providers Mt, PLLC PastSince Jul 7, 2025 Accepting new patients
State of Montana PastSince Feb 25, 2024 Accepting new patients
Complexcare Medical Group Midwest M PLLC Past Accepting new patients

Locations

1554 Harrison Ave
Ste C
Butte, MT 59701
Phone (406) 299-3777

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/HHBIDD/Endpoint/HHBIDD

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1651795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765152000000",
    "number": "1073259651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2217 AMHERST AVE # A",
            "city": "BUTTE",
            "state": "MT",
            "postal_code": "597013840",
            "telephone_number": "406-498-9236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 GARNET WAY",
            "city": "WARM SPRINGS",
            "state": "MT",
            "postal_code": "597569705",
            "telephone_number": "406-693-7000",
            "fax_number": "406-693-7267"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2217 Amherst Ave # A",
            "address_purpose": "LOCATION",
            "city": "Butte",
            "state": "MT",
            "postal_code": "597013840",
            "country_code": "US",
            "telephone_number": "406-498-9236",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "41800 W 11 Mile Rd Ste 109",
            "address_purpose": "LOCATION",
            "city": "Novi",
            "state": "MI",
            "postal_code": "483751818",
            "country_code": "US",
            "telephone_number": "406-792-3100",
            "fax_number": "406-299-8028",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WALSH",
        "first_name": "CHRISTINE",
        "middle_name": "MARIE",
        "credential": "AGNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-06",
        "last_updated": "2025-12-08",
        "certification_date": "2024-02-19",
        "deactivation_date": "2025-11-05",
        "reactivation_date": "2025-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "MT",
            "license": "194354",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1073259651",
            "state": "MT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOARD OF NURSING",
            "identifier": "NUR-APRN-LIC194354",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Warm Springs, MT

Sources for this page

Verify at the official NPI Registry.