Individual provider Active NPI

Susan Joyce Anderson, APRM

  • Nurse Practitioner
  • Fort Harrison, MT
National Provider Identifier
1235236555
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
RN12931 Issued in MT
Practice address
1892 Veterans Way
Fort Harrison, MT 59636
Phone
(406) 447-7500
NPI assigned
Sep 20, 2006
Last updated
Mar 7, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X RN12931 MT Primary

Addresses

Primary practice location

1892 Veterans Way
Fort Harrison, MT 59636

Mailing address

1080 Douglas Cir
Helena, MT 59602-8153
Phone (406) 458-6567

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN12931MTMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Cardiopulmonary Associates of Montana, PLLC Past Accepting new patients
Mountain View Family Health Care, PC Past Accepting new patients
Frances Mahon Deaconess Hospital Past Accepting new patients
Big Sky Medical Clinic, PC Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/12481/brand/1/csg/1/fhir/r4

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1235236555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1080 DOUGLAS CIR",
            "city": "HELENA",
            "state": "MT",
            "postal_code": "596028153",
            "telephone_number": "406-458-6567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1892 VETERANS WAY",
            "city": "FORT HARRISON",
            "state": "MT",
            "postal_code": "59636",
            "telephone_number": "406-447-7500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "SUSAN",
        "middle_name": "JOYCE",
        "name_prefix": "Mrs.",
        "credential": "APRM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-20",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MT",
            "license": "RN12931",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Harrison, MT

Sources for this page

Verify at the official NPI Registry.