Active NPI
Jessica Erin Antisdel, CRNA
- Certified Registered Nurse Anesthetist
- Hamilton, MT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 176478
- Practice address
- 1200 Westwood Dr
Hamilton, MT 59840-2345 - Phone
- (406) 363-2211
- NPI assigned
- Jun 24, 2021
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 176478 | MT | Primary |
Addresses
Primary practice location
1200 Westwood Dr
Hamilton, MT 59840-2345
Mailing address
1224 W Main St
Hamilton, MT 59840-2338
Phone (406) 363-2211
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200005460 | Medicaid | MT |
Other names 1
- Jessica Erin Palmer
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MT
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
30 13TH St
Havre, MT 59501-5222
Phone (406) 265-2211
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 176478 | MT | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northern Montana Hospital | Current | Accepting new patients | |
| Northern Montana Hospital | Current | Accepting new patients | |
| Northern Montana Hospital | Current | Accepting new patients |
Locations
30 13th St
Havre, MT 59501
Phone (406) 262-1302
Organizations & group practices 3
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.
-
- Critical Access Hospital
- Havre, MT
- NPI 1427059070
-
dba Northern Montana Hospital Swing Beds
- Critical Access Hospital
- Havre, MT
- NPI 1578536355
-
dba Northern Montana Hospital Emergency Medicine
- Clinic/Center
- Havre, MT
- NPI 1669447967
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Havre, MT
- NPI 1427059070
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1624492800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1784505600000",
"number": "1134798044",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1224 W MAIN ST",
"city": "HAMILTON",
"state": "MT",
"postal_code": "598402338",
"telephone_number": "406-363-2211"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1200 WESTWOOD DR",
"city": "HAMILTON",
"state": "MT",
"postal_code": "598402345",
"telephone_number": "406-363-2211"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANTISDEL",
"first_name": "JESSICA",
"middle_name": "ERIN",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-06-24",
"last_updated": "2026-07-20",
"certification_date": "2026-07-20",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "MT",
"license": "176478",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200005460",
"state": "MT"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "JESSICA",
"last_name": "PALMER",
"middle_name": "ERIN",
"credential": "RN",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Hamilton, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.