Individual provider Active NPI

Jenaia Mae McGreevey, FNP-C

  • Family Nurse Practitioner
  • Ronan, MT
National Provider Identifier
1083173645
Registry record updated Mar 13, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
NUR-APRN-LIC-143991 Issued in MT
Practice address
104 Main St SW
Ronan, MT 59864-2703
Phone
(406) 676-4325
NPI assigned
Mar 13, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X NUR-APRN-LIC-143991 MT Primary

Addresses

Primary practice location

104 Main St SW
Ronan, MT 59864-2703

Mailing address

550 Arabian LN
Libby, MT 59923-9519

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
I20200206000911 MT Practitioner - Nurse Practitioner 7618301417 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Johns Lutheran Hospital IncGroup PAC ID 1557255676, 34 clinicians

Practice addresses (Care Compare)

209 Health Park Dr
Libby, MT 59923-2001
Phone (406) 283-7000

Hospital & facility affiliations

  • Cabinet Peaks Medical Center Hospital, Libby, MT, CCN 271320
  • Logan Health Medical Center Hospital, Kalispell, MT, CCN 270051

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
NUR-APRN-LIC-143991MTMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
St. John'S Lutheran Hospital, Inc. CurrentSince Jan 1, 2020 Accepting new patients

Locations

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

350 Louisiana Ave
Libby, MT 59923
Phone (406) 283-7000

Organizations & group practices 1

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.

Hospital & facility affiliations 8

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": "1552435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1552435200000",
    "number": "1083173645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 ARABIAN LN",
            "city": "LIBBY",
            "state": "MT",
            "postal_code": "599239519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 MAIN ST SW",
            "city": "RONAN",
            "state": "MT",
            "postal_code": "598642703",
            "telephone_number": "406-676-4325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCGREEVEY",
        "first_name": "JENAIA",
        "middle_name": "MAE",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-13",
        "last_updated": "2019-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MT",
            "license": "NUR-APRN-LIC-143991",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ronan, MT

Sources for this page

Verify at the official NPI Registry.