Ellen S Dewolfe, MSN PC

Primary specialty

Psychiatric/Mental Health Clinical Nurse SpecialistTaxonomy code 364SP0808X

License

RN16128 Issued in MT

Practice address

125 Bank St Ste 310
Missoula, MT 59802-4413

Phone

(406) 549-7325

Fax

(406) 549-7559

NPI assigned

Aug 22, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 3

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

Certified Clinical Nurse Specialist (CNS)

Education

Other, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Specialist, Master of Science - Nursing

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 and National Provider Directory roles.

• Ellen S Dewolfe MSN P.C.

  • Psychiatric/Mental Health Clinical Nurse Specialist
  • Missoula, MT
  • NPI 1891801817
  Medicare reassignment NPD Authorized official
• A Matter of Communication Inc

  • Hearing and Speech Clinic/Center
  • Missoula, MT
  • NPI 1366671364
  NPD (past)

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

{
    "created_epoch": "1156204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570665600000",
    "number": "1174639199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3138",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598063138",
            "telephone_number": "406-549-7325",
            "fax_number": "406-549-7559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 BANK ST STE 310",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598024413",
            "telephone_number": "406-549-7325",
            "fax_number": "406-549-7559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEWOLFE",
        "first_name": "ELLEN",
        "middle_name": "S",
        "credential": "MSN PC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-22",
        "last_updated": "2019-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SP0808X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health",
            "state": "MT",
            "license": "RN16128",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "000098073",
            "state": "MT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "890000386",
            "state": "MT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4300153",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Audrey Dettmann, DC
• Destiny Dawn Devine, MSW
• Mary Devlin-McKay, LCSW
• Stacey M. Dewitt, MA, LCPC
• Ward S Dewitt, MD
• Katherine Dexter, DNP, APRN-BC
• Johna Dhuyvetter
• Diane V Haddon PLLC
• Amber Diaz, DPT
• Emily Lea Diaz, DC

• Psychiatric/Mental Health Clinical Nurse Specialist in Missoula, MT
• Providers in Missoula, MT by specialty
• Psychiatric/Mental Health Clinical Nurse Specialist in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2019; 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.