Kristin Donoven, APRN, FNP-C
Individual provider Active NPI Family Nurse Practitioner · Havre, MT
NPI 1245800804 · NPPES record last updated Oct 1, 2024
Key facts
- NPI
- 1245800804
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- NUR-APRN-LIC-241577 (MT)
- Practice address
- 521 4TH St
Havre, MT 59501-3649 - Phone
- (406) 395-4305
- Fax
- (406) 395-4858
- NPI assigned
- Jun 28, 2021
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Bullhook Community Health Center Inc
Practice addresses (Care Compare)
521 4TH St
Havre, MT 59501-3649
Phone (406) 395-4305
Hospital & facility affiliations
- Northern Montana Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MT
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20241004000660 | MT | Practitioner - Nurse Practitioner | 2961933692 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| NUR-APRN-LIC-241577 | MT | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bullhook Community Health Center, Inc. | Family | Current |
Accepting new patients |
Locations
521 4th St
Havre, MT 59501
Phone (406) 395-4305
110 13th St
Havre, MT 59501
Phone (406) 265-4541
Interoperability endpoints
- kristin.donoven@bullhookchc.eclinicaldirectplus.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | NUR-APRN-LIC-241577 | MT | Yes |
Addresses
Primary practice location
521 4TH St
Havre, MT 59501-3649
Mailing address
1255 12TH St
Havre, MT 59501-4664
Phone (406) 399-1865
Other providers in Havre, MT
- Patty E Derosa
- Sandy A Derry
- Douglas A Dightman
- District IV Human Resource Development Council
- Sharon Jean Dolph
- Holly Marie Dorcheus
- Jennifer Anne Durward
- Dustin Ratliff, LCPC
- Carmen Anne Ehlert
- Celeste Elliot
All providers in Havre, MT · Family Nurse Practitioner in Montana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 1, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.