Gretchen Wise, RN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

158939 Issued in MT

Practice address

320 Alpenglow LN
Livingston, MT 59047-8506

Phone

(406) 222-3541

NPI assigned

Mar 6, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in MT, HI2 enrollments

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 2

Specialty

Nurse Practitioner

Education

Other, 2020

Medicare assignment

May accept Medicare assignment

Group practices

Livingston HealthcareGroup PAC ID 5991613598, 66 clinicians

The Makana North Shore ClinicGroup PAC ID 8426308883, 27 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Livingston Healthcare Hospital, Livingston, MT, CCN 271317

Merit-based Incentive Payment System (MIPS)

Final score

74.05 of 100Reported as group

Quality

59.76

Promoting interoperability

99

Improvement activities

40

Cost

54.58

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner, Registered Nurse

State licenses

Practice roles

Locations

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.

• Livingston Healthcare

  • Critical Access Hospital
  • Livingston, MT
  • NPI 1245222306
  Medicare reassignment Care Compare group NPD
• The Makana North Shore Clinic

  • Urgent Care Clinic/Center
  • Princeville, HI
  • NPI 1114431632
  Medicare reassignment Care Compare group NPD
• Livingston Med Spa PLLC

  • Nurse Practitioner
  • Livingston, MT
  • NPI 1033805635
  NPD Authorized official
• Livingston Healthcare

  • Rehabilitation Clinic/Center
  • Gardiner, MT
  • NPI 1225670375
  NPD
• Livingston Healthcare

  • Rural Health Clinic/Center
  • Livingston, MT
  • NPI 1477676443
  NPD

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

• Livingston Healthcare

  • Rehabilitation Clinic/Center
  • Wilsall, MT
  • NPI 1124660279

  Hospital

  Care Compare affiliation
• Livingston Healthcare

  • Rehabilitation Clinic/Center
  • Gardiner, MT
  • NPI 1225670375

  Hospital

  Care Compare affiliation
• Livingston Healthcare

  • Critical Access Hospital
  • Livingston, MT
  • NPI 1245222306
  Care Compare affiliation
• Livingston Healthcare

  • Clinic/Center
  • Livingston, MT
  • NPI 1902448897

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1583452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588204800000",
    "number": "1205461514",
    "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": "610-212-6936"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 ALPENGLOW LN",
            "city": "LIVINGSTON",
            "state": "MT",
            "postal_code": "590478506",
            "telephone_number": "406-222-3541"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WISE",
        "first_name": "GRETCHEN",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-06",
        "last_updated": "2020-04-30",
        "certification_date": "2020-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MT",
            "license": "127586",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MT",
            "license": "158939",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MT BON",
            "identifier": "127586",
            "state": "MT"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "gretchen.wise@livhc.org",
            "affiliation": "N",
            "address_1": "320 Alpenglow Ln",
            "city": "Livingston",
            "state": "MT",
            "country_code": "US",
            "postal_code": "590478506",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Cary Wasko
• Western Medical Transport
• Susan M Wicklund, M.D.
• Jessica Eldredge Wilcox, MNT, MS, RD, LDN
• Mary V Williams, LMP
• Patrick Wolberd, LCSW
• Ashley Mae Wold, DPT
• Eulee Yang, MD
• Yellowstone Physical Therapy Inc.
• Yellowstone Psychotherapy

• Family Nurse Practitioner in Livingston, MT
• Providers in Livingston, MT by specialty
• Family Nurse Practitioner in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 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.