Matthew Abrahamson, NP
Individual provider Active NPI Primary Care Nurse Practitioner · Missoula, MT
NPI 1255026985 · NPPES record last updated Apr 28, 2023
Key facts
- NPI
- 1255026985
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Primary Care Nurse Practitioner 363LP2300X
- License
- NUR-APRN-LIC-213143 (MT)
- Practice address
- 2316 Hillview CT Apt 4
Missoula, MT 59803-3145 - Phone
- (262) 364-8201
- NPI assigned
- Apr 10, 2023
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 9
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Marcus Daly Memorial Hospital Corporation
Practice addresses (Care Compare)
1200 Westwood Dr
Hamilton, MT 59840-2345
1270 Westwood Dr
Suite 2
Hamilton, MT 59840-2345
Phone (406) 375-4758
3334 DVN LN
Darby, MT 59829-9736
Phone (406) 375-4142
3975 US Hwy 93 N
Stevensville, MT 59870-6474
Phone (406) 777-6002
Hospital & facility affiliations
- Bitterroot Health - Daly 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 |
|---|---|---|---|---|
| I20230621002797 | MT | Practitioner - Nurse Practitioner | 5092173153 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| NUR-APRN-LIC-213143 | MT | MD | Primary Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Marcus Daly Memorial Hospital Corporation | Current | Accepting new patients | |
| Marcus Daly Memorial Hospital Corporation | Current |
Accepting new patients | |
| Marcus Daly Memorial Hospital Corporation | Current |
Accepting new patients | |
| Marcus Daly Memorial Hospital Corporation | Current | Accepting new patients |
Locations
1224 W Main St
Hamilton, MT 59840
Phone (406) 375-4823
1200 Westwood Dr
Hamilton, MT 59840
Phone (406) 363-2211
1200 Westwood Dr
Ste I
Hamilton, MT 59840
Phone (406) 363-1100
3975 US Highway 93 N
Stevensville, MT 59870
Phone (406) 375-4824
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Nurse Practitioner | 363LP2300X | NUR-APRN-LIC-213143 | MT | Yes |
Addresses
Primary practice location
2316 Hillview CT Apt 4
Missoula, MT 59803-3145
Mailing address
2316 Hillview CT Apt 4
Missoula, MT 59803-3145
Phone (262) 364-8201
Other providers in Missoula, MT
- Stephen Hugh Abercrombie
- Elise Anne Abicht
- Travis Owen Abicht
- Above & Beyond Speech Therapy
- John Carter Abrahamson II
- Lindsay M Abrams
- Lori Ann Abramson
- Abrei Cloud LCSW LLC
- Absolute Health Family Chiropractic
- Accident Solutions
All providers in Missoula, MT · Primary Care 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 Apr 28, 2023. 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.