Active NPI
Ernesto E. Ornelas, FNP
- Family Nurse Practitioner
- Superior, MT
National Provider Identifier
1124031786
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 25639
- Practice address
- 1208 6TH Ave
Superior, MT 59872-9618 - Phone
- (406) 822-4278
- Fax
- (406) 822-4912
- NPI assigned
- Aug 14, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 25639 | MT | Primary |
Addresses
Primary practice location
1208 6TH Ave
Superior, MT 59872-9618
Mailing address
1208 6TH Ave
P.O. Box 698
Superior, MT 59872-9618
Phone (406) 822-4278
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0435897 | Medicaid | MT | |
| 370570 | Other | MT | BC/BS OF MONTANA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155513600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1198022400000",
"number": "1124031786",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1208 6TH AVE",
"address_2": "P.O. BOX 698",
"city": "SUPERIOR",
"state": "MT",
"postal_code": "598729618",
"telephone_number": "406-822-4278",
"fax_number": "406-822-4912"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1208 6TH AVE",
"city": "SUPERIOR",
"state": "MT",
"postal_code": "598729618",
"telephone_number": "406-822-4278",
"fax_number": "406-822-4912"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ORNELAS",
"first_name": "ERNESTO",
"middle_name": "E.",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-14",
"last_updated": "2007-12-19",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MT",
"license": "25639",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0435897",
"state": "MT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC/BS OF MONTANA",
"identifier": "370570",
"state": "MT"
}
],
"endpoints": [],
"other_names": []
}Other providers in Superior, MT
- Missoula Community Health Services, Inc
- Missoula Community Health Services, Inc
- Missoula Community Health Services, Inc.
- Missoula Community Health Services, Inc.
- Missoula Community Health Services, Inc.
- Providence Health & Services Mt
- Megan Hattie Pugh, PA-C
- Stephanie Quick, LCSW
- April Ann Quinlan, LCPC
- Brenda KH Reynolds, NCMT, CMT, LMT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.