Shana Eaglefeathers, DO

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

MED-PHYS-LIC-87676 Issued in MT

Practice address

6 13TH Ave E
Polson, MT 59860-5315

Phone

(406) 883-5680

NPI assigned

Mar 3, 2017

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in MT, WY, AK3 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 3

Specialty

Hospitalist

Education

University of New England, College of Osteo Medicine, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Rural Family PhysiciansGroup PAC ID 0042608804, 16 clinicians

Summit Hospitalist Group LLCGroup PAC ID 8527445824, 47 clinicians

CMSC LLCGroup PAC ID 5890602494, 92 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Memorial Hospital of Carbon County Hospital, Rawlins, WY, CCN 531316
• Great Falls Clinic Hospital Hospital, Great Falls, MT, CCN 270086
• Cheyenne Regional Medical Center Hospital, Cheyenne, WY, CCN 530014
• South Peninsula Hospital Hospital, Homer, AK, CCN 021313
• Memorial Hospital of Converse County Hospital, Douglas, WY, CCN 531302
• Memorial Hospital of Carbon County Nursing home, CCN 53Z316

Merit-based Incentive Payment System (MIPS)

Final score

96.26 of 100Reported as apm

Quality

84.3

Promoting interoperability

100

Improvement activities

40

Merit-based Incentive Payment System (MIPS)

Final score

85.68 of 100Reported as group

Quality

75.73

Promoting interoperability

100

Improvement activities

40

Cost

76.55

Merit-based Incentive Payment System (MIPS)

Final score

33.71 of 100Reported as group

Quality

39.66

Improvement activities

0

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: sdenisoneaglefeathers820421@direct.ochin.org
• Direct secure messaging: seaglefeathers1256664@wm.providencedirect.org
• FHIR API: https://fhir-usa.unify.chbase.com/org/sphosp-0c203fcf
• FHIR API: https://api.platform.athenahealth.com/25095/brand/1/csg/1/fhir/r4

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.

• CMSC, LLC

  • General Acute Care Hospital
  • Great Falls, MT
  • NPI 1639109978
  Medicare reassignment Care Compare group NPD
• Rural Family Physicians

  • Critical Access Hospital Clinic/Center
  • Denver, CO
  • NPI 1881261774

  WY

  Medicare reassignment Care Compare group NPD
• Summit Hospitalist Group LLC

  • Hospitalist Physician
  • Cheyenne, WY
  • NPI 1356985600
  Medicare reassignment Care Compare group NPD
• Apogee Medical Group Wyoming PC

  • Internal Medicine Physician
  • Pinedale, WY
  • NPI 1154583581
  Medicare reassignment NPD
• Banner Health Physicians West LLC

  • Multi-Specialty Clinic/Center
  • Casper, WY
  • NPI 1063778728
  Medicare reassignment NPD
• Campbell County Hospital District

  • Internal Medicine Physician
  • Gillette, WY
  • NPI 1710098868

  Family Medicine

  Medicare reassignment NPD
• Ivinson Memorial Hospital

  • Rural Health Clinic/Center
  • Laramie, WY
  • NPI 1033628599
  Medicare reassignment NPD
• Lander Valley Physician Practices, LLC

  • Psychiatry Physician
  • Lander, WY
  • NPI 1215971510
  Medicare reassignment NPD
• Memorial Hospital of Carbon County

  • Family Medicine Physician
  • Rawlins, WY
  • NPI 1508900341
  Medicare reassignment NPD
• Riverton Physician Practices, LLC

  • Emergency Medicine Physician
  • Riverton, WY
  • NPI 1205875614
  Medicare reassignment NPD
• South Peninsula Hospital, Inc

  • Critical Access Hospital
  • Homer, AK
  • NPI 1093968372
  Medicare reassignment NPD
• South Peninsula Hospital, Inc.

  • Critical Access Hospital
  • Homer, AK
  • NPI 1679566269

  Family Medicine

  Medicare reassignment NPD

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

• CMSC, LLC

  • General Acute Care Hospital
  • Great Falls, MT
  • NPI 1639109978
  Care Compare affiliation
• Memorial Hospital of Carbon County

  • Critical Access Hospital
  • Rawlins, WY
  • NPI 1710298757
  Care Compare affiliation
• Memorial Hospital of Carbon County

  • Medicare Defined Swing Bed Hospital Unit
  • Rawlins, WY
  • NPI 1891006839

  Nursing home

  Care Compare affiliation
• Memorial Hospital of Converse County

  • Critical Access Hospital
  • Douglas, WY
  • NPI 1326085408
  Care Compare affiliation
• Memorial Hospital of Laramie County

  • General Acute Care Hospital
  • Cheyenne, WY
  • NPI 1285621839
  Care Compare affiliation
• South Peninsula Hospital, Inc

  • Critical Access Hospital
  • Homer, AK
  • NPI 1093968372
  Care Compare affiliation

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

{
    "created_epoch": "1488499200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621209600000",
    "number": "1235679796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 262",
            "city": "LIBERTY LAKE",
            "state": "WA",
            "postal_code": "990190262",
            "telephone_number": "866-747-2455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 13TH AVE E",
            "city": "POLSON",
            "state": "MT",
            "postal_code": "598605315",
            "telephone_number": "406-883-5680"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "120 Hobart St",
            "address_2": "Residency Program",
            "address_purpose": "LOCATION",
            "city": "Utica",
            "state": "NY",
            "postal_code": "135014308",
            "country_code": "US",
            "telephone_number": "315-801-1149",
            "fax_number": "315-801-3565",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EAGLEFEATHERS",
        "first_name": "SHANA",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-03",
        "last_updated": "2021-05-17",
        "certification_date": "2021-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MT",
            "license": "MED-PHYS-LIC-87676",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "seaglefeathers1256664@wm.providencedirect.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "6 13th Ave E",
            "city": "Polson",
            "state": "MT",
            "country_code": "US",
            "postal_code": "598605315",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Stacey Jo Dunn, PHD
• Jerome Dunst, M.D.
• Hannah Dupea, MD
• Derrek Durocher, DC
• Jesse Rae Durocher, DC
• Rachel Edington, LCPC
• Cynthia Marie Elliott, OTRL
• Jamie Michael Engeldrum, PA-C
• Donald Paul Ericksen, M.D.
• David Jason Erickson I, L.M.T

• Family Medicine Physician in Polson, MT
• Providers in Polson, MT by specialty
• Family Medicine Physician in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2021; 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.