Amy Wellborn

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

11385 Issued in MT

Practice address

30 Mt Highway 91 S
Dillon, MT 59725-3535

Phone

(406) 683-1188

NPI assigned

Jan 30, 2015

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 1

Electronic endpoints 1

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

Specialty

Clinical Social Worker

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Barrett Hospital Development CorporationGroup PAC ID 4082904487, shared by 4 NPIs, 30 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Barrett Hospital & Healthcare Hospital, Dillon, MT, CCN 271318

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: awellborn1176761@wm.providencedirect.org

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.

• Barrett Hospital Development Corporation

  • Critical Access Hospital
  • Dillon, MT
  • NPI 1326042078
  Medicare reassignment NPD
• Barrett Hospital Development Corporation

  • Critical Access Hospital
  • Dillon, MT
  • NPI 1396286480
  Medicare reassignment NPD
• Barrett Hospital Development Corporation

  • Multi-Specialty Clinic/Center
  • Twin Bridges, MT
  • NPI 1265319255
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Barrett Hospital Development Corporation

  • Critical Access Hospital
  • Dillon, MT
  • NPI 1326042078
  Care Compare affiliation
• Barrett Hospital Development Corporation

  • Medicare Defined Swing Bed Hospital Unit
  • Dillon, MT
  • NPI 1326419102
  Care Compare affiliation

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

{
    "created_epoch": "1422576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602633600000",
    "number": "1205226149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1732 S 72ND ST W",
            "city": "BILLINGS",
            "state": "MT",
            "postal_code": "591063538",
            "telephone_number": "406-651-3122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 MT HIGHWAY 91 S",
            "city": "DILLON",
            "state": "MT",
            "postal_code": "597253535",
            "telephone_number": "406-683-1188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WELLBORN",
        "first_name": "AMY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-01-30",
        "last_updated": "2020-10-14",
        "certification_date": "2020-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MT",
            "license": "11385",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "YBGR",
            "identifier": "81-0262019",
            "state": "MT"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "AWELLBORN1176761@WM.PROVIDENCEDIRECT.ORG",
            "affiliation": "N",
            "address_1": "30 Mt Highway 91 S",
            "city": "Dillon",
            "state": "MT",
            "country_code": "US",
            "postal_code": "597253535",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Timothy Steven Visscher, MD
• Kenny Joe Wallen, D.N.P.
• Ellen Inez Ward, PTA
• Karen Weed, M.D.
• Patricia Marie Weigle, CRNA
• Amanda Leigh Wendt, L.M.T
• Jenelle Marie White, PT, DPT
• Kristen Augusta White, MD
• Seth Wiley, PT, DPT
• Ashley Williams, SWLC

• Clinical Social Worker in Dillon, MT
• Providers in Dillon, MT by specialty
• Clinical Social Worker in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2020; 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.