Individual provider Active NPI

Angelica M. Johnson, F.N.P.

  • Family Nurse Practitioner
  • Fort Benton, MT
National Provider Identifier
1184615197
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN23658 Issued in MT
Practice address
1203 15 St.
Fort Benton, MT 59442
Phone
(406) 622-5485
Fax
(406) 622-3882
NPI assigned
Oct 31, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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 RN23658 MT Primary

Addresses

Primary practice location

1203 15 St.
Fort Benton, MT 59442

Mailing address

PO Box 249
Fort Benton, MT 59442-0249
Phone (406) 622-5485

Other identifiers 1

IdentifierTypeStateIssuer
0438568MedicaidMT

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
I20041228000815 MT Practitioner - Nurse Practitioner 7315905023 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Chouteau County District HospitalGroup PAC ID 2365409703, 9 clinicians
Benefis Community Hospitals IncGroup PAC ID 9931414950, shared by 2 NPIs, 19 clinicians

Practice addresses (Care Compare)

1501 Saint Charles St
Fort Benton, MT 59442-7710

Hospital & facility affiliations

  • Missouri River Medical Center Hospital, Fort Benton, MT, CCN 271304
  • Benefis Hospitals Inc Hospital, Great Falls, MT, CCN 270012
  • Great Falls Clinic Hospital Hospital, Great Falls, MT, CCN 270086
  • Missouri River Medical Center Nursing home, CCN 27Z304

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN23658MTMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Benefis Community Hospitals, Inc. CurrentSince Apr 17, 2024 Accepting new patients
Logan Health - Conrad Current Accepting new patients
Benefis Community Hospitals, Inc. Current Accepting new patients
Pondera Medical Center O CurrentSince Sep 30, 2015 Accepting new patients
Logan Health - Conrad CurrentSince Sep 30, 2015 Accepting new patients
County of Chouteau PastSince Jan 1, 2002 Accepting new patients

Locations

915 4th St NW
Choteau, MT 59422
Phone (406) 466-5763

809 Sunset Blvd
Conrad, MT 59425
Phone (406) 271-3211

Organizations & group practices 6

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": "1130716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1184615197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 249",
            "city": "FORT BENTON",
            "state": "MT",
            "postal_code": "594420249",
            "telephone_number": "406-622-5485",
            "fax_number": "406-622-3882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1203 15 ST.",
            "city": "FORT BENTON",
            "state": "MT",
            "postal_code": "59442",
            "telephone_number": "406-622-5485",
            "fax_number": "406-622-3882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "ANGELICA",
        "middle_name": "M.",
        "credential": "F.N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-31",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MT",
            "license": "RN23658",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0438568",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Benton, MT

Sources for this page

Verify at the official NPI Registry.