Individual provider Active NPI

Rebecca J Conroy, FNP-BC

  • Family Nurse Practitioner
  • Victor, MT
National Provider Identifier
1174789499
Registry record updated May 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
38236 Issued in MT
Practice address
2386 US Highway 93 N
Victor, MT 59875-9211
Phone
(406) 375-2990
NPI assigned
Aug 6, 2008
Last updated
May 12, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 12, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 38236 MT Primary

Addresses

Primary practice location

2386 US Highway 93 N
Victor, MT 59875-9211

Mailing address

1200 Westwood Dr
Hamilton, MT 59840-2345
Phone (406) 363-2211

Other identifiers 1

IdentifierTypeStateIssuer
1174789499MedicaidMT

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL REBECCACONROYMDMHCERNERDIRECTCOM

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
I20091023000334 MT Practitioner - Nurse Practitioner 9133266125 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2008
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)

1200 Westwood Dr
Hamilton, MT 59840-2345

1270 Westwood Dr
Suite 2
Hamilton, MT 59840-2345
Phone (406) 375-4758

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
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
38236MTMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Marcus Daly Memorial Hospital Corporation CurrentSince Mar 13, 2017 Accepting new patients
Marcus Daly Memorial Hospital Corporation Current Accepting new patients
Marcus Daly Memorial Hospital Corporation CurrentSince Mar 13, 2017 Accepting new patients

Locations

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

1200 Westwood Dr
Ste I
Hamilton, MT 59840
Phone (406) 363-1100

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

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

Interoperability endpoints

  • Direct secure messaging: rebeccaconroy@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 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": "1217980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620777600000",
    "number": "1174789499",
    "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",
            "telephone_number": "406-363-2211",
            "fax_number": "406-549-5928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2386 US HIGHWAY 93 N",
            "city": "VICTOR",
            "state": "MT",
            "postal_code": "598759211",
            "telephone_number": "406-375-2990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONROY",
        "first_name": "REBECCA",
        "middle_name": "J",
        "name_prefix": "Mrs.",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-08-06",
        "last_updated": "2021-05-12",
        "certification_date": "2021-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MT",
            "license": "38236",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1174789499",
            "state": "MT"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "REBECCACONROYMDMHCERNERDIRECTCOM",
            "affiliation": "N",
            "address_1": "2386 US Highway 93 N",
            "city": "Victor",
            "state": "MT",
            "country_code": "US",
            "postal_code": "598759211",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Victor, MT

Sources for this page

Verify at the official NPI Registry.