Individual provider Active NPI

Brittany Ross, CNM

  • Advanced Practice Midwife
  • Missoula, MT
National Provider Identifier
1194409334
Registry record updated Jun 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
214722 Issued in MT
Practice address
2831 Fort Missoula Rd Ste 232
Missoula, MT 59804-7479
Phone
(406) 523-5650
NPI assigned
Jun 8, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X 214722 MT Primary

Addresses

Primary practice location

2831 Fort Missoula Rd Ste 232
Missoula, MT 59804-7479

Mailing address

21 Bitterroot Mountain Rd
Clancy, MT 59634-9631
Phone (406) 451-9041

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: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230824002841 MT Practitioner - Certified Nurse Midwife (CNM) 1658734538 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife

State licenses

LicenseStateTypeSpecialty
214722MTMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Origin Health LLC CurrentSince Jul 17, 2023 Accepting new patients
RCHP Billings - Missoula LLC Past Accepting new patients

Locations

2600 Winne Ave
Ste E
Helena, MT 59601
Phone (406) 442-8062

2831 Fort Missoula Rd
Ste 232
Missoula, MT 59804
Phone (406) 523-5650

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/21046/brand/1/csg/1/fhir/r4
  • Direct secure messaging: brittany.ross.1@21046.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.

NPI Registry JSON

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

{
    "created_epoch": "1686182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686182400000",
    "number": "1194409334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 BITTERROOT MOUNTAIN RD",
            "city": "CLANCY",
            "state": "MT",
            "postal_code": "596349631",
            "telephone_number": "406-451-9041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2831 FORT MISSOULA RD STE 232",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598047479",
            "telephone_number": "406-523-5650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSS",
        "first_name": "BRITTANY",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-08",
        "last_updated": "2023-06-08",
        "certification_date": "2023-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "MT",
            "license": "214722",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Missoula, MT

Sources for this page

Verify at the official NPI Registry.