Tony Gordon Ballensky, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

128284 Issued in MT

Practice address

435 S Crystal St Ste 300
Butte, MT 59701-1506

Phone

(406) 496-3600

NPI assigned

Nov 29, 2017

Last updated

Nov 29, 2017By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

SCL Health Medical Group-Butte LLCGroup PAC ID 2466633102, 109 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Enhabit Home Health Home health agency, Helena, MT, CCN 277017
• Compassus Home Health - Butte Home health agency, Butte, MT, CCN 277058
• St James Hospital Hospital, Butte, MT, CCN 270017

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts, Nurse Practitioner

State licenses

Practice roles

Locations

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.

• SCL Health Medical Group-Butte LLC

  • Family Medicine Physician
  • Butte, MT
  • NPI 1477869600
  Medicare reassignment Care Compare group NPD
• SCL Health Medical Group-Butte LLC

  dba Boulder Clinic - Family Medicine

  • Rural Health Clinic/Center
  • Boulder, MT
  • NPI 1861031122
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Beta Factor Home Care, LLC

  dba Compassus Home Health Butte MT

  • Home Health Agency
  • Butte, MT
  • NPI 1982963930
  Care Compare affiliation
• Eh Health Home Health of the Northwest, LLC

  dba Enhabit Home Health

  • Home Health Agency
  • Helena, MT
  • NPI 1043803828
  Care Compare affiliation
• St James Healthcare

  dba Intermountain Health St James Hospital

  • General Acute Care Hospital
  • Butte, MT
  • NPI 1528037215
  Care Compare affiliation
• St. James Healthcare

  dba Summit Lab

  • Clinical Medical Laboratory
  • Butte, MT
  • NPI 1023355849

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1511913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1511913600000",
    "number": "1124532155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3204 PHILLIPS ST",
            "city": "BUTTE",
            "state": "MT",
            "postal_code": "597014526",
            "telephone_number": "406-490-0756"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "435 S CRYSTAL ST STE 300",
            "city": "BUTTE",
            "state": "MT",
            "postal_code": "597011506",
            "telephone_number": "406-496-3600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALLENSKY",
        "first_name": "TONY",
        "middle_name": "GORDON",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-11-29",
        "last_updated": "2017-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MT",
            "license": "128284",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kara Assaley, CNS
• Rachel Auer, DPT
• Kathryn Lynn Bahr, PT
• Brooke Lorae Bailey
• Balanced Care PC
• Kara Bankiewicz, DMD
• Diane I. Banks-Mohr, LCSW
• Meika Larae Barney-Ruegamer, LMT
• Barrett Hospital Development Corporation (Barrett Hospital Clinic Butte)
• Christine M Barry, LCPC

• Family Nurse Practitioner in Butte, MT
• Providers in Butte, 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 Nov 29, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.