Individual provider Active NPI

Amber Rae Edwards, FNP-C, APRN

  • Family Nurse Practitioner
  • Butte, MT
National Provider Identifier
1194910075
Registry record updated Jan 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
100348 Issued in MT
Practice address
2000 Ottawa St
Butte, MT 59701-6008
Phone
(406) 565-2454
Fax
(406) 578-1542
NPI assigned
Sep 13, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 24455 MT
Family Nurse Practitioner 363LF0000X 100348 MT Primary

Addresses

Primary practice location

2000 Ottawa St
Butte, MT 59701-6008

Mailing address

PO Box 4484
Butte, MT 59702-4484
Phone (406) 565-2454

Other names 1

  • Amber Rae Wells Former name

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
I20071018000824 MT Practitioner - Nurse Practitioner 3779679964 Practice locations: Butte, MT

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2000 Ottawa St
Butte, MT 59701-6008

Hospital & facility affiliations

  • St James Hospital Hospital, Butte, MT, CCN 270017

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Highlands Physical Therapy & Sports Medicine PLLC CurrentSince Jan 15, 2023 Accepting new patients

Locations

2000 Ottawa St
Butte, MT 59701
Phone (406) 565-2454

Organizations & group practices 1

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 2

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": "1189641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673222400000",
    "number": "1194910075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4484",
            "city": "BUTTE",
            "state": "MT",
            "postal_code": "597024484",
            "telephone_number": "406-565-2454",
            "fax_number": "406-593-1653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 OTTAWA ST",
            "city": "BUTTE",
            "state": "MT",
            "postal_code": "597016008",
            "telephone_number": "406-565-2454",
            "fax_number": "406-578-1542"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDWARDS",
        "first_name": "AMBER",
        "middle_name": "RAE",
        "name_prefix": "Mrs.",
        "credential": "FNP-C, APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-13",
        "last_updated": "2023-01-09",
        "certification_date": "2023-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MT",
            "license": "24455",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MT",
            "license": "100348",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMBER",
            "last_name": "WELLS",
            "middle_name": "RAE",
            "credential": "LPN RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Butte, MT

Sources for this page

Verify at the official NPI Registry.