Individual provider Active NPI

Whitney Kay Haseman, M.D.

  • Geriatric Medicine (Internal Medicine) Physician
  • Missoula, MT
National Provider Identifier
1255726469
Registry record updated Jan 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X
License
MED-PHYS-LIC-89204 Issued in MT
Practice address
2875 Tina Ave Ste 102
Missoula, MT 59808-1582
Phone
(406) 272-3746
Fax
(406) 303-3308
NPI assigned
Apr 3, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 17, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 10094279-1205 UT
Internal Medicine Physician 207R00000X 10094279-8905 UT
Student in an Organized Health Care Education/Training Program 390200000X
Geriatric Medicine (Internal Medicine) Physician 207RG0300X MED-PHYS-LIC-89204 MT Primary

Addresses

Primary practice location

2875 Tina Ave Ste 102
Missoula, MT 59808-1582

Mailing address

CPG Internal Medicine
2825 Fort Missoula Road, Building 1, Suite 217
Missoula, MT 59804
Phone (406) 327-3850

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MT
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 1

Enrollment IDStateProvider typePAC IDDetails
I20201117001997 MT Practitioner - Geriatric Medicine 9133409659 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Geriatric Medicine
Education
University of Texas Medical School at San Antonio, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Montana Stillwater Health PLLCGroup PAC ID 5092182808, 2 clinicians

Practice addresses (Care Compare)

2875 Tina Ave
Suite 102
Missoula, MT 59808-1582
Phone (406) 272-3746

Hospital & facility affiliations

  • Partners in Home Care Inc Home health agency, Missoula, MT, CCN 277032
  • Big Sky Home Health Home health agency, Missoula, MT, CCN 277303
  • Hestia Home Advantage Hospice, Missoula, MT, CCN 271538
  • Community Medical Center Hospital, Missoula, MT, CCN 270023
  • St. Patrick Hospital Hospital, Missoula, MT, CCN 270014
  • Village Health & Rehabilitation Nursing home, Missoula, MT, CCN 275043

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
10094279-8905UTMDInternal Medicine Physician
MED-PHYS-LIC-89204MTMDGeriatric Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
RCHP Billings - Missoula LLC CurrentSince Dec 1, 2020 Accepting new patients
RCHP Billings - Missoula LLC CurrentSince Dec 1, 2020 Accepting new patients
Hestia in-Home Support LLC CurrentSince May 10, 2021 Accepting new patients
Montana Stillwater Health, PLLC Internal Medicine CurrentSince Dec 1, 2022 Accepting new patients

Locations

2827 Fort Missoula Rd
Missoula, MT 59804
Phone (406) 327-4202

2230 N Reserve St
Missoula, MT 59808
Phone (406) 721-0533

2230 N Reserve St
Ste 402
Missoula, MT 59808
Phone (406) 327-3850

2875 Tina Ave
Ste 102
Missoula, MT 59808
Phone (406) 272-3746

2875 Tina Ave
Ste 102AB
Missoula, MT 59808
Phone (406) 272-3746

700 SW Higgins Ave
Ste 102
Missoula, MT 59803
Phone (406) 540-3402

2825 Fort Missoula Rd
Ste 217
Missoula, MT 59804
Phone (406) 327-3850

Interoperability endpoints

  • Direct secure messaging: msh.whitney.haseman@154231.advancedmd-direct.com

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 and National Provider Directory roles.

Hospital & facility affiliations 9

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

NPI Registry JSON

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

{
    "created_epoch": "1428019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673913600000",
    "number": "1255726469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "CPG INTERNAL MEDICINE",
            "address_2": "2825 FORT MISSOULA ROAD, BUILDING 1, SUITE 217",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "59804",
            "telephone_number": "406-327-3850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2875 TINA AVE STE 102",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598081582",
            "telephone_number": "406-272-3746",
            "fax_number": "406-303-3308"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HASEMAN",
        "first_name": "WHITNEY",
        "middle_name": "KAY",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-04-03",
        "last_updated": "2023-01-17",
        "certification_date": "2023-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "UT",
            "license": "10094279-1205",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "UT",
            "license": "10094279-8905",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "MT",
            "license": "MED-PHYS-LIC-89204",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Missoula, MT

Sources for this page

Verify at the official NPI Registry.