Active NPI
Diana Jenkins, APRN
- Family Nurse Practitioner
- Missoula, MT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- NUR-APRN-LIC-243338
- Practice address
- 2700 Radio Way
Missoula, MT 59808-1385 - Phone
- (406) 541-3046
- Fax
- (406) 728-9068
- NPI assigned
- Dec 16, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | NUR-APRN-LIC-243338 | MT | Primary |
Addresses
Primary practice location
2700 Radio Way
Missoula, MT 59808-1385
Mailing address
PO Box 31001
Pasadena, CA 91110-4110
Phone (406) 329-5615
Other practice location 1
500 W Broadway St Ste 320
Missoula, MT 59802-4003
Phone (406) 329-5615
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: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
500 W Broadway St
Suite 320
Missoula, MT 59802-4003
Phone (406) 329-5615
Hospital & facility affiliations
- St. Patrick Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| NUR-APRN-LIC-243338 | MT | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Providence Health & Services Mt | Nurse Practitioner | Current | Accepting new patients |
| Providence Health & Services Mt | Current | Accepting new patients | |
| Costcare, PLLC | Current | Accepting new patients | |
| Providence Health & Services Mt | Current | Accepting new patients | |
| Providence Health & Services Mt | Past | Accepting new patients |
Locations
3031 S Russell St
Missoula, MT 59801
Phone (406) 549-0119
500 W Broadway St
Ste 320
Missoula, MT 59802
Phone (406) 329-2945
2700 Radio Way
Missoula, MT 59808
Phone (406) 541-3046
Interoperability endpoints
- diana.jenkins@165427463913476.direct.elationemr.com
Organizations & group practices 5
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.
-
- Rehabilitation Hospital Unit
- Missoula, MT
- NPI 1144319138
-
- Primary Care Clinic/Center
- Missoula, MT
- NPI 1710171657
-
- Family Medicine Physician
- Missoula, MT
- NPI 1215222617
Nurse Practitioner
-
- Nephrology Physician
- Missoula, MT
- NPI 1871825018
-
- Pulmonary Disease Physician
- Missoula, MT
- NPI 1427096585
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Missoula, MT
- NPI 1023032588
-
- Anatomic Pathology & Clinical Pathology Physician
- Missoula, MT
- NPI 1366185928
Hospital
-
- Psychiatric Hospital Unit
- Missoula, MT
- NPI 1619058302
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1734307200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1763251200000",
"number": "1285441998",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 31001",
"city": "PASADENA",
"state": "CA",
"postal_code": "911104110",
"telephone_number": "406-329-5615",
"fax_number": "406-329-5606"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2700 RADIO WAY",
"city": "MISSOULA",
"state": "MT",
"postal_code": "598081385",
"telephone_number": "406-541-3046",
"fax_number": "406-728-9068"
}
],
"practiceLocations": [
{
"address_1": "500 W Broadway St Ste 320",
"address_purpose": "LOCATION",
"city": "Missoula",
"state": "MT",
"postal_code": "598024003",
"country_code": "US",
"telephone_number": "406-329-5615",
"fax_number": "406-329-5606",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JENKINS",
"first_name": "DIANA",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-12-16",
"last_updated": "2025-11-16",
"certification_date": "2025-11-16",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MT",
"license": "NUR-APRN-LIC-243338",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Missoula, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 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.