Individual provider Active NPI

Linda Lorraine Dupree, PAC

  • Physician Assistant
  • Billings, MT
National Provider Identifier
1073516167
Registry record updated Jun 11, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
303 Issued in MT
Practice address
801 N 29TH St
Billings, MT 59101-0905
Phone
(406) 945-4023
NPI assigned
May 23, 2005
Reactivated
Aug 20, 2007
Last updated
Jun 11, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 303 MT Primary

Addresses

Primary practice location

801 N 29TH St
Billings, MT 59101-0905

Mailing address

PO Box 35100
801 North 29TH St
Billings, MT 59107-5100
Phone (406) 357-2294

Other identifiers 1

IdentifierTypeStateIssuer
720188MedicaidMT

Other names 1

  • Linda Lorraine Liese Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, MT, AK3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20081010000321 TX Practitioner - Physician Assistant 8022015619 Reassigns benefits to 2 organizations
I20091119000641 MT Practitioner - Physician Assistant 8022015619 Reassigns benefits to 4 organizations
I20161012002688 AK Practitioner - Physician Assistant 8022015619 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Logan Health - WhitefishGroup PAC ID 9335033687, 48 clinicians

Practice addresses (Care Compare)

100 Rea LN
West Glacier, MT 59936-7762
Phone (406) 888-9924

1045 Glades Dr
Whitefish, MT 59937-9169
Phone (406) 862-1717

1600 Hospital Way
Whitefish, MT 59937-7849
Phone (406) 863-3500

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
303MTMDClinical Psychologist
2259AKMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Liberty County Hospital and Nursing Home, Inc CurrentSince Jul 1, 2016 Accepting new patients
Bristol Bay Area Health Corporation Current Accepting new patients
Billings Clinic CurrentSince Jul 11, 2016 Accepting new patients
Wheatland Memorial Healthcare CurrentSince Jan 7, 2015 Accepting new patients
Bristol Bay Area Health Corporation Current Accepting new patients
Bristol Bay Area Health Corporation Current Accepting new patients
Bristol Bay Area Health Corportion Current Accepting new patients
Bristol Bay Area Health Corporation Current Accepting new patients
Bristol Bay Area Health Corporation Current Accepting new patients
Logan Health - Whitefish Physician Assistant CurrentSince Jan 15, 2022 Accepting new patients
Bristol Bay Area Health Corporation Current Accepting new patients
Southeast Alaska Regional Health Consortium CurrentSince Dec 30, 2016 Accepting new patients
Logan Health - Whitefish CurrentSince Jan 15, 2022 Accepting new patients
Bristol Bay Area Health Corporation Current Accepting new patients
Bristol Bay Area Health Corporation Current Accepting new patients
Bristol Bay Area Health Corporation Current Accepting new patients
Southeast Alaska Regional Health Consortium CurrentSince Dec 30, 2016 Accepting new patients
Bristol Bay Area Health Corporation Current Accepting new patients
Bristol Bay Area Health Corporation CurrentSince Apr 24, 2014 Accepting new patients
Bristol Bay Area Health Corporation Current Accepting new patients
Bristol Bay Area Health Corporation CurrentSince Apr 24, 2014 Accepting new patients
Bristol Bay Area Health Corporation Current Accepting new patients
Bristol Bay Area Health Corporation Current Accepting new patients
Bristol Bay Area Health Corporation Current Accepting new patients
Bristol Bay Area Health Corportation Current Accepting new patients
Bristol Bay Area Health Corportion Current Accepting new patients
Alaska Imaging Associates, LLC Past Accepting new patients
Yellowstone Sports Medicine and Bone & Joint Clinic,LLC Past Accepting new patients
Billings Clinic Express Care, LLC Past Accepting new patients
Logan Health - Whitefish Past Accepting new patients
Frances Mahon Deaconess Hospital Past Accepting new patients

Locations

37 Chilkat Ave
Haines, AK 99827
Phone (907) 463-4040

3100 Channel Dr
Ste 300
Juneau, AK 99801
Phone (907) 463-4000

222 Tongass Dr
Sitka, AK 99835
Phone (907) 966-8423

2800 10th Ave N
Billings, MT 59101
Phone (406) 248-3290

801 N 29th St
Billings, MT 59101
Phone (406) 238-2210

310 Sunnyview Ln
Kalispell, MT 59901
Phone (406) 751-5310

1600 Hospital Way
Whitefish, MT 59937
Phone (406) 863-3500

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/20726/brand/1/csg/1/fhir/r4
  • Direct secure messaging: linda.dupree.1@20726.direct.athenahealth.com
  • Direct secure messaging: linda.dupree@wheatlandmemorial.cernerdirect.com

Organizations & group practices 36

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.

View all 36

NPI Registry JSON

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

{
    "created_epoch": "1116806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1465603200000",
    "number": "1073516167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 35100",
            "address_2": "801 NORTH 29TH ST",
            "city": "BILLINGS",
            "state": "MT",
            "postal_code": "591075100",
            "telephone_number": "406-357-2294",
            "fax_number": "406-357-3252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 N 29TH ST",
            "city": "BILLINGS",
            "state": "MT",
            "postal_code": "591010905",
            "telephone_number": "406-945-4023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUPREE",
        "first_name": "LINDA",
        "middle_name": "LORRAINE",
        "credential": "PAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-05-23",
        "last_updated": "2016-06-11",
        "deactivation_date": "2007-07-17",
        "reactivation_date": "2007-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MT",
            "license": "303",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "720188",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LINDA",
            "last_name": "LIESE",
            "middle_name": "LORRAINE",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Billings, MT

Sources for this page

Verify at the official NPI Registry.