Individual provider Active NPI

Yvonne K Courchesne, MD

  • Family Medicine Physician
  • Corvallis, MT
National Provider Identifier
1124073341
Registry record updated Nov 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MED-PHYS-LIC-10225 Issued in MT
Practice address
1037 Main St
Corvallis, MT 59828-9004
Phone
(406) 961-4661
Fax
(406) 961-4260
NPI assigned
May 24, 2006
Last updated
Nov 12, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 12, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MED-PHYS-LIC-10225 MT Primary

Addresses

Primary practice location

1037 Main St
Corvallis, MT 59828-9004

Mailing address

1200 Westwood Dr
Hamilton, MT 59840-2345

Other identifiers 2

IdentifierTypeStateIssuer
100016553MedicaidMT
1124073341MedicaidID

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL YVONNECOURCHESNEMDMHCERNERDIRECTCOM

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040520000483 MT Practitioner - Family Practice 7810988672 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Washington School of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sapphire Community Health IncGroup PAC ID 8123153244, 38 clinicians

Practice addresses (Care Compare)

316 N 3Rd St
Hamilton, MT 59840-2480
Phone (406) 541-0032

3975 US Hwy 93 N
Stevensville, MT 59870-6474
Phone (406) 777-6002

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MED-PHYS-LIC-10225MTMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Marcus Daly Memorial Hospital Corporation CurrentSince Jun 16, 2004 Accepting new patients
Marcus Daly Memorial Hospital Corporation Current Accepting new patients
Marcus Daly Memorial Hospital Corporation CurrentSince Jun 16, 2004 Accepting new patients

Locations

1170 Westwood Dr
Ste A
Hamilton, MT 59840
Phone (406) 363-5104

1170 Westwood Dr
Ste B
Hamilton, MT 59840
Phone (406) 363-2211

1200 Westwood Dr
Hamilton, MT 59840
Phone (406) 363-2211

1200 Westwood Dr
Ste I
Hamilton, MT 59840
Phone (406) 363-0597

1224 W Main St
Hamilton, MT 59840
Phone (406) 375-4823

215 N 10th St
Ste C
Hamilton, MT 59840
Phone (406) 375-4545

3975 US Highway 93 N
Stevensville, MT 59870
Phone (406) 375-4824

715 Main St
Ste A
Stevensville, MT 59870
Phone (406) 777-5522

715 Main St
Ste B
Stevensville, MT 59870
Phone (406) 777-4477

Interoperability endpoints

  • Direct secure messaging: yvonnecourchesne@mdmh.cernerdirect.com

Organizations & group practices 4

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.

Hospital & facility affiliations 4

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": "1148428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731369600000",
    "number": "1124073341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 WESTWOOD DR",
            "city": "HAMILTON",
            "state": "MT",
            "postal_code": "598402345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1037 MAIN ST",
            "city": "CORVALLIS",
            "state": "MT",
            "postal_code": "598289004",
            "telephone_number": "406-961-4661",
            "fax_number": "406-961-4260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COURCHESNE",
        "first_name": "YVONNE",
        "middle_name": "K",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-24",
        "last_updated": "2024-11-12",
        "certification_date": "2024-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MT",
            "license": "MED-PHYS-LIC-10225",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100016553",
            "state": "MT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1124073341",
            "state": "ID"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "YVONNECOURCHESNEMDMHCERNERDIRECTCOM",
            "affiliation": "N",
            "address_1": "1037 Main St",
            "city": "Corvallis",
            "state": "MT",
            "country_code": "US",
            "postal_code": "598289374",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Corvallis, MT

Sources for this page

Verify at the official NPI Registry.