Individual provider Active NPI

Peggy Sue Scharberg Chaffin, APRN

  • Primary Care Nurse Practitioner
  • Missoula, MT
National Provider Identifier
1174234769
Registry record updated Dec 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
NUR-APRN-LIC-206056 Issued in MT
Practice address
2825 Fort Missoula Rd Ste 121
Missoula, MT 59804-7403
Phone
(406) 926-3500
NPI assigned
Dec 6, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X NUR-APRN-LIC-206056 MT Primary

Addresses

Primary practice location

2825 Fort Missoula Rd Ste 121
Missoula, MT 59804-7403

Mailing address

PO Box 696
Darby, MT 59829-0696
Phone (406) 544-1859

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230308001674 MT Practitioner - Nurse Practitioner 4981077104 Reassigns benefits to 1 organization
Practice locations: Missoula, MT

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Montana Neurology PLLCGroup PAC ID 9436296928, 2 clinicians

Practice addresses (Care Compare)

2825 Fort Missoula Rd
Suite 121
Missoula, MT 59804-7403
Phone (406) 926-3500

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
NUR-APRN-LIC-206056MTMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Montana Neurology PLLC CurrentSince Mar 13, 2023 Accepting new patients
Montana Neurology PLLC CurrentSince Mar 13, 2023 Accepting new patients

Locations

2825 Fort Missoula Rd
Ste 121
Missoula, MT 59804
Phone (406) 327-4234

Interoperability endpoints

  • Direct secure messaging: peggy.chaffin.1@2827.direct.athenahealth.com

Organizations & group practices 2

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.

Hospital & facility affiliations 5

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": "1670284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670284800000",
    "number": "1174234769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 696",
            "city": "DARBY",
            "state": "MT",
            "postal_code": "598290696",
            "telephone_number": "406-544-1859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2825 FORT MISSOULA RD STE 121",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598047403",
            "telephone_number": "406-926-3500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHARBERG CHAFFIN",
        "first_name": "PEGGY",
        "middle_name": "SUE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-12-06",
        "last_updated": "2022-12-06",
        "certification_date": "2022-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "MT",
            "license": "NUR-APRN-LIC-206056",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Missoula, MT

Sources for this page

Verify at the official NPI Registry.