Jennifer A Krueger, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

57 Issued in MT

Practice address

1200 Westwood Dr
Hamilton, MT 59840-2345

Phone

(406) 363-5101

Fax

(406) 363-7652

NPI assigned

May 16, 2006

Last updated

Nov 5, 2015By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

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

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Marcus Daly Memorial Hospital Corporation

  dba Bitterroot Health - Daly Hospital

  • Critical Access Hospital
  • Hamilton, MT
  • NPI 1659475846
  Medicare reassignment
• Marcus Daly Memorial Hospital Corporation

  dba Bitterroot Health - Darby Scripps Clinic

  • Rural Health Clinic/Center
  • Darby, MT
  • NPI 1396191276
  NPD
• Western Montana Clinic PC

  dba Western Montana Clinic Laboratory

  • Clinical Medical Laboratory
  • Missoula, MT
  • NPI 1740364017
  NPD
• Western Montana Clinic PC

  • Multi-Specialty Clinic/Center
  • Missoula, MT
  • NPI 1942253182
  NPD
• Frenchtown Family Practice

  • Family Medicine Physician
  • Frenchtown, MT
  • NPI 1891741807
  NPD (past)
• Madison Valley Hospital Inc

  • Land Ambulance
  • Ennis, MT
  • NPI 1518546365
  NPD (past)
• Montana Neurobehavioral Specialists

  • Neurology Physician
  • Missoula, MT
  • NPI 1013961671
  NPD (past)

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

{
    "created_epoch": "1147737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1446681600000",
    "number": "1285686568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 WESTWOOD DR",
            "city": "HAMILTON",
            "state": "MT",
            "postal_code": "598402345",
            "telephone_number": "406-375-4823",
            "fax_number": "406-375-4846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 WESTWOOD DR",
            "city": "HAMILTON",
            "state": "MT",
            "postal_code": "598402345",
            "telephone_number": "406-363-5101",
            "fax_number": "406-363-7652"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRUEGER",
        "first_name": "JENNIFER",
        "middle_name": "A",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-16",
        "last_updated": "2015-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "MT",
            "license": "57",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1285686568",
            "state": "ID"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4303689",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jennifer Knell, MA, LCPC
• Chris Koerner
• Becki Koon
• James J Kostecki, DC
• Samantha Kratofil, APRN, FNP-C
• Kristen Marie Lahaise, PA-C
• Aaron Christopher Laird, MD
• Shaun Gordon Lalonde, PA-C
• Alyssa Larson
• Amanda Lasseter, PT, DPT, COMT

• Medical Physician Assistant in Hamilton, MT
• Providers in Hamilton, MT by specialty
• Medical Physician Assistant in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2015; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.