Individual provider Active NPI

Diana Jenkins, APRN

  • Family Nurse Practitioner
  • Missoula, MT
National Provider Identifier
1285441998
Registry record updated Nov 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
NUR-APRN-LIC-243338 Issued in MT
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

Updated by the provider on Nov 16, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251119003011 MT Practitioner - Nurse Practitioner 0042701831 Reassigns benefits to 1 organization

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
Providence Health and Services MtGroup PAC ID 6608786306, 358 clinicians

Practice addresses (Care Compare)

500 W Broadway St
Suite 320
Missoula, MT 59802-4003
Phone (406) 329-5615

Hospital & facility affiliations

  • St. Patrick Hospital Hospital, Missoula, MT, CCN 270014

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
NUR-APRN-LIC-243338MTMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Providence Health & Services Mt Nurse Practitioner CurrentSince Dec 1, 2025 Accepting new patients
Providence Health & Services Mt Current Accepting new patients
Costcare, PLLC CurrentSince Dec 1, 2024 Accepting new patients
Providence Health & Services Mt CurrentSince Dec 1, 2025 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 4

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": "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

Verify at the official NPI Registry.