Jamie Beth Goldberg, ACNP/PMHNP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

116142 Issued in MT

Practice address

1083 W Park Ave
Anaconda, MT 59711-2000

Phone

(406) 498-5449

NPI assigned

Dec 15, 2016

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

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: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

State of MontanaGroup PAC ID 3870499676, 13 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Wellness Options LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Anaconda, MT
  • NPI 1356032387
  Medicare reassignment NPD Authorized official
• State of Montana

  • Skilled Nursing Facility
  • Columbia Falls, MT
  • NPI 1356351183
  Medicare reassignment Care Compare group NPD (past)
• Cogent Healthcare of Montana P C

  • Internal Medicine Physician
  • Missoula, MT
  • NPI 1053569525
  Medicare reassignment NPD
• State of Montana

  • Psychiatric Hospital
  • Warm Springs, MT
  • NPI 1932116340
  NPD

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

{
    "created_epoch": "1481760000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703808000000",
    "number": "1255875811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1083 W PARK AVE",
            "city": "ANACONDA",
            "state": "MT",
            "postal_code": "597112000",
            "telephone_number": "406-498-5449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1083 W PARK AVE",
            "city": "ANACONDA",
            "state": "MT",
            "postal_code": "597112000",
            "telephone_number": "406-498-5449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLDBERG",
        "first_name": "JAMIE",
        "middle_name": "BETH",
        "credential": "ACNP/PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-12-15",
        "last_updated": "2023-12-29",
        "certification_date": "2023-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "MT",
            "license": "116142",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MT",
            "license": "116142",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lindsey Fode, RN
• Stacy Ann Fortner, LCPC
• Cynthia Ann Fullmer, LMT
• Amanda Lynn Gange, PT, DPT
• Hailey Giacomini
• Jeffrey Edward Goldberg, PHARMD
• Allison Goodman
• Debra A Gorman-Badar, PT
• Aleisha Gornick, PT, DPT
• Kirstie Jenae Gorthy, CRNA

• Psychiatric/Mental Health Nurse Practitioner in Anaconda, MT
• Providers in Anaconda, MT by specialty
• Psychiatric/Mental Health Nurse Practitioner in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2023; 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.