Alexander Daniel Hetrick, DO

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

MED-PHYS-LIC-132526 Issued in MT

Practice address

126 6TH Ave SW
Ronan, MT 59864-2600

Phone

(406) 676-3600

NPI assigned

May 27, 2021

Last updated

Dec 29, 2025By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family Practice

Education

Temple University School of Medicine, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

St Lukes Community HospitalGroup PAC ID 5496659567, 59 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• St Luke Community Hospital Hospital, Ronan, MT, CCN 271325
• Providence St Joseph Medical Center Hospital, Polson, MT, CCN 271343
• St Luke Community Hospital Nursing home, CCN 27Z325

Merit-based Incentive Payment System (MIPS)

Final score

96.26 of 100Reported as apm

Quality

84.3

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: ahetrick2821408@wm.providencedirect.org

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• St Lukes Community Hospital

  • Critical Access Hospital
  • Ronan, MT
  • NPI 1336213446
  Medicare reassignment Care Compare group NPD
• St. Lukes Community Hospital

  dba St. Luke Community Clinic St. Ignatius

  • Rural Health Clinic/Center
  • St Ignatius, MT
  • NPI 1306911169
  Medicare reassignment
• St Lukes Community Hospital

  dba St. Luke Community Covenient Care Clinic

  • Urgent Care Clinic/Center
  • Ronan, MT
  • NPI 1154566271
  NPD
• St Lukes Community Hospital

  dba St. Luke Community Specialty Clinic

  • Certified Registered Nurse Anesthetist
  • Ronan, MT
  • NPI 1518663608
  NPD
• Providence St Joseph Medical Center

  dba Prov St Joseph Med Ctr

  • Critical Access Hospital
  • Polson, MT
  • NPI 1821184888
  NPD (past)

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

• Providence St Joseph Medical Center

  dba Prov St Joseph Med Ctr

  • Critical Access Hospital
  • Polson, MT
  • NPI 1821184888
  Care Compare affiliation
• St Lukes Community Hospital

  • Critical Access Hospital
  • Ronan, MT
  • NPI 1336213446
  Care Compare affiliation

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

{
    "created_epoch": "1622073600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766966400000",
    "number": "1255907580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "126 6TH AVE SW",
            "city": "RONAN",
            "state": "MT",
            "postal_code": "598642600",
            "telephone_number": "406-676-3600",
            "fax_number": "406-676-3738"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "126 6TH AVE SW",
            "city": "RONAN",
            "state": "MT",
            "postal_code": "598642600",
            "telephone_number": "406-676-3600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HETRICK",
        "first_name": "ALEXANDER",
        "middle_name": "DANIEL",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-05-27",
        "last_updated": "2025-12-29",
        "certification_date": "2025-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MT",
            "license": "MED-PHYS-LIC-132526",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sharla R Hart, M.D.
• Healing Cycles Counseling and Recovery
• Sancee Leigh Heaton, LMT
• Gage Henderson, PA-C
• Meagan Lavin Henderson, PA-C
• Caitlin Hickok, RN, FNP-C
• Shane Alan Hill, M.D.
• Eleanore R Hobbs, MD
• Laura I Hoganson, MD
• Zachary J Hovorka, D.O.

• Family Medicine Physician in Ronan, MT
• Providers in Ronan, 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 Dec 29, 2025; 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.