Jessica Martin, CNP
Individual provider Active NPI Family Nurse Practitioner · Phillipsburg, MT
NPI 1083373963 · NPPES record last updated May 9, 2022
Key facts
- NPI
- 1083373963
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 185342 (MT)
- Practice address
- 310 S Sansome St.
Phillipsburg, MT 59858 - Phone
- (406) 859-3271
- Fax
- (406) 859-3011
- NPI assigned
- Dec 8, 2021
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 6
Hospital & facility affiliations 8
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Granite County Hospital District
Practice addresses (Care Compare)
310 S Sansome St
Philipsburg, MT 59858-7711
Phone (406) 859-3271
Hospital & facility affiliations
- Granite County Medical Center
- Community Hospital of Anaconda
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MT
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220324002217 | MT | Practitioner - Nurse Practitioner | 8022403260 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Certified Nurse Practitioner, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| NUR-APRN-LIC-185342 | MT | MD | Family Medicine Physician |
| 185342 | MT | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Granite County Hospital District | Current |
Accepting new patients | |
| Northwest Ehr Collaborative Inc. | Current |
Accepting new patients | |
| Granite County Hospital District | Current |
Accepting new patients | |
| Reiter Foundation | Past |
Accepting new patients | |
| Granite County Hospital District | Past | Accepting new patients |
Locations
606 E Park Ave
Anaconda, MT 59711
Phone (406) 563-7962
Interoperability endpoints
- jessica.martin.1@15204.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | NUR-APRN-LIC-185342 | MT | |
| Family Nurse Practitioner | 363LF0000X | 185342 | MT | Yes |
Addresses
Primary practice location
310 S Sansome St.
Phillipsburg, MT 59858
Mailing address
310 S. Sansome St.
Phillipsburg, MT 59858
Phone (406) 859-3271
Other providers in Phillipsburg, MT
All providers in Phillipsburg, MT · Family Nurse Practitioner in Montana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 9, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.