Individual provider Active NPI

Colleen M Marron, MD

  • Pediatrics Physician
  • Great Falls, MT
National Provider Identifier
1073514931
Registry record updated Jul 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
7770 Issued in MT
Practice address
1400 29TH St S
Great Falls, MT 59405-5353
Phone
(406) 454-2171
Fax
(406) 771-3021
NPI assigned
Aug 2, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X MED-PHYS-LIC-7770 MT
Pediatrics Physician 208000000X 7770 MT Primary

Addresses

Primary practice location

1400 29TH St S
Great Falls, MT 59405-5353

Mailing address

1400 29TH St S
Great Falls, MT 59405-5353
Phone (406) 454-2171

Other identifiers 1

IdentifierTypeStateIssuer
0013416MedicaidMT

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
I20040913000749 MT Practitioner - Pediatric Medicine 7719954494 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Great Falls Clinic LLC Primary Care CurrentSince Apr 4, 2024 Accepting new patients
Benefis Hospitals, Inc. Past Accepting new patients

Locations

3000 15th Ave S
Great Falls, MT 59405
Phone (406) 771-3102

1101 26th St S
Great Falls, MT 59405
Phone (406) 455-4690

1400 29th St S
Great Falls, MT 59405
Phone (406) 442-3570

Interoperability endpoints

  • Direct secure messaging: colleen.marron.1@25095.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/25095/brand/1/csg/1/fhir/r4

Organizations & group practices 2

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": "1122940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784592000000",
    "number": "1073514931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 29TH ST S",
            "city": "GREAT FALLS",
            "state": "MT",
            "postal_code": "594055353",
            "telephone_number": "406-454-2171",
            "fax_number": "406-771-3021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 29TH ST S",
            "city": "GREAT FALLS",
            "state": "MT",
            "postal_code": "594055353",
            "telephone_number": "406-454-2171",
            "fax_number": "406-771-3021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARRON",
        "first_name": "COLLEEN",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-02",
        "last_updated": "2026-07-21",
        "certification_date": "2026-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "MT",
            "license": "MED-PHYS-LIC-7770",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MT",
            "license": "7770",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0013416",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Great Falls, MT

Sources for this page

Verify at the official NPI Registry.