Individual provider Active NPI

Jeanne Lee Mehrens, P A C

  • Physician Assistant
  • Butte, MT
National Provider Identifier
1285854034
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
488 Issued in MT
Practice address
300 W Mercury St
Butte, MT 59701-1652
Phone
(406) 723-1300
Fax
(406) 723-1335
NPI assigned
Apr 26, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 488 MT Primary

Addresses

Primary practice location

300 W Mercury St
Butte, MT 59701-1652

Mailing address

300 W Mercury St
Butte, MT 59701-1652
Phone (406) 723-1300

Other identifiers 1

IdentifierTypeStateIssuer
4310112MedicaidMT

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
I20240917001923 MT Order and Referring Only - Physician Assistant 8426155680

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
488MTMDAddiction (Substance Use Disorder) Counselor

NPI Registry JSON

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

{
    "created_epoch": "1177545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1285854034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 W MERCURY ST",
            "city": "BUTTE",
            "state": "MT",
            "postal_code": "597011652",
            "telephone_number": "406-723-1300",
            "fax_number": "406-723-1335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 W MERCURY ST",
            "city": "BUTTE",
            "state": "MT",
            "postal_code": "597011652",
            "telephone_number": "406-723-1300",
            "fax_number": "406-723-1335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEHRENS",
        "first_name": "JEANNE",
        "middle_name": "LEE",
        "credential": "P A C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MT",
            "license": "488",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4310112",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Butte, MT

Sources for this page

Verify at the official NPI Registry.