Mary E. Kofstad, MSN-FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

27090 Issued in MT

Practice address

1233 N 30TH St
Billings, MT 59101-0127

Phone

(406) 237-4122

Fax

(406) 237-4195

NPI assigned

Jun 13, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Mary E. Earley Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

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.

• Burien Operations, LLC

  • Skilled Nursing Facility
  • Burien, WA
  • NPI 1912619321
  NPD (past) Authorized official
• Shoreline Operations, LLC

  • Skilled Nursing Facility
  • Shoreline, WA
  • NPI 1366154791
  NPD (past) Authorized official
• Signature Home Health Bend, LLC

  • Home Health Agency
  • Bend, OR
  • NPI 1942820568
  NPD (past) Authorized official
• Signature Hospice Oregon Coast, LLC

  • Community Based Hospice Care Agency
  • Lincoln City, OR
  • NPI 1508463274
  NPD (past) Authorized official
• Frances Mahon Deaconess Hospital

  • Critical Access Hospital
  • Glasgow, MT
  • NPI 1689685323
  NPD (past)
• Exiges Imaging, LLC

  • Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
  • Wilsonville, OR
  • NPI 1467079434
  NPD (past)

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

{
    "created_epoch": "1213315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1213315200000",
    "number": "1104086065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1233 N 30TH ST",
            "city": "BILLINGS",
            "state": "MT",
            "postal_code": "591010127",
            "telephone_number": "406-237-4122",
            "fax_number": "406-237-4195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1233 N 30TH ST",
            "city": "BILLINGS",
            "state": "MT",
            "postal_code": "591010127",
            "telephone_number": "406-237-4122",
            "fax_number": "406-237-4195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOFSTAD",
        "first_name": "MARY",
        "middle_name": "E.",
        "credential": "MSN-FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-13",
        "last_updated": "2008-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MT",
            "license": "27090",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHONE NUMBER",
            "identifier": "4062374122",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARY",
            "last_name": "EARLEY",
            "middle_name": "E.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Michael Robert Kobos, LCSW
• Kevin J Koch, NP
• Randy P Kochanowicz, OTRL
• Meagan Marie Kochel, ND
• Jennifer Koffler, PA-C
• Roy N Kohler, M.D.
• Ali Riza Koksal, MD
• Catherine Kolczak, MS, LCPC
• John Kominsky, MD
• John Konow, MD

• Family Nurse Practitioner in Billings, MT
• Providers in Billings, MT by specialty
• Family Nurse Practitioner in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.