Individual provider Active NPI

Amy Renee Wood I, CRNA

  • Certified Registered Nurse Anesthetist
  • Glasgow, MT
National Provider Identifier
1205250503
Registry record updated Nov 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
31354 Issued in MT
Practice address
621 3Rd St S
Glasgow, MT 59230-2604
Phone
(406) 228-3500
Fax
(406) 228-3680
NPI assigned
Feb 7, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 23, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 31354 MT Primary

Addresses

Primary practice location

621 3Rd St S
Glasgow, MT 59230-2604

Mailing address

320 Alpenglow LN
Livingston, MT 59047-8506
Phone (406) 222-3541

Other practice location 1

320 Alpenglow Ln
Livingston, MT 59047-8506
Phone (406) 222-3541

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address FMDH@direct-address.net Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140523000314 MT Practitioner - Certified Registered Nurse Anesthetist (Crna) 8729201595 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Frances Mahon Deaconess HospitalGroup PAC ID 3173430949, shared by 5 NPIs, 38 clinicians

Practice addresses (Care Compare)

621 3Rd St S
Glasgow, MT 59230-2604
Phone (406) 228-3500

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
31354MTMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Livingston Healthcare Current Accepting new patients
Frances Mahon Deaconess Hospital Nurse Anesthetist, Certified Registered CurrentSince Feb 24, 2014 Accepting new patients
Frances Mahon Deaconess Hospital CurrentSince Dec 1, 2025 Accepting new patients
Livingston Healthcare Urgent Care CurrentSince Jan 1, 2018 Accepting new patients
Frances Mahon Deaconess Hospital CurrentSince Feb 24, 2014 Accepting new patients
Livingston Healthcare CurrentSince Jan 1, 2018 Accepting new patients

Locations

621 3rd St S
Glasgow, MT 59230
Phone (406) 228-3500

320 Alpenglow Ln
Livingston, MT 59047
Phone (406) 222-3541

104 Centennial Dr
Livingston, MT 59047
Phone (406) 222-0030

Interoperability endpoints

  • Direct secure messaging: fmdh@direct-address.net

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 1

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": "1391731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606089600000",
    "number": "1205250503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 ALPENGLOW LN",
            "city": "LIVINGSTON",
            "state": "MT",
            "postal_code": "590478506",
            "telephone_number": "406-222-3541",
            "fax_number": "406-823-6434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "621 3RD ST S",
            "city": "GLASGOW",
            "state": "MT",
            "postal_code": "592302604",
            "telephone_number": "406-228-3500",
            "fax_number": "406-228-3680"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "320 Alpenglow Ln",
            "address_purpose": "LOCATION",
            "city": "Livingston",
            "state": "MT",
            "postal_code": "590478506",
            "country_code": "US",
            "telephone_number": "406-222-3541",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WOOD",
        "first_name": "AMY",
        "middle_name": "RENEE",
        "name_suffix": "I",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-02-07",
        "last_updated": "2020-11-23",
        "certification_date": "2020-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MT",
            "license": "31354",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "FMDH@direct-address.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "621 3rd St S",
            "city": "Glasgow",
            "state": "MT",
            "country_code": "US",
            "postal_code": "592302604",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Glasgow, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.