Individual provider Active NPI

Oivind Frederick Westereng, PA-C

  • Physician Assistant
  • Missoula, MT
National Provider Identifier
1295044394
Registry record updated Apr 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
628 Issued in MT
Practice address
3624 Brooks St Ste 101
Missoula, MT 59801-7338
Phone
(888) 227-3312
NPI assigned
Oct 7, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2024

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 628 MT Primary

Addresses

Primary practice location

3624 Brooks St Ste 101
Missoula, MT 59801-7338

Mailing address

PO Box 2928
Portland, OR 97208-2928
Phone (424) 207-5155

Other practice location 1

3075 N Reserve St Ste Q
Missoula, MT 59808-1390
Phone (406) 327-1750

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address owestereng132545@wm.providencedirect.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MT, OR, WA3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20111001000001 MT Practitioner - Physician Assistant 4587836234 Reassigns benefits to 3 organizations
I20240522002509 OR Practitioner - Physician Assistant 4587836234 Reassigns benefits to 1 organization
I20240610003605 WA Practitioner - Physician Assistant 4587836234 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Express Care Wa PCGroup PAC ID 6800128067, 64 clinicians
Express Care Or PCGroup PAC ID 1254768732, 60 clinicians

Practice addresses (Care Compare)

105 E Mission Ave
Suite D
Spokane, WA 99202-6002
Phone (888) 227-3312

1336 NE Orenco Station Pkwy
Hillsboro, OR 97124-5408
Phone (888) 227-3312

1601 George Washington Way
Richland, WA 99354-2626
Phone (888) 227-3312

3624 Brooks St
Suite 101
Missoula, MT 59801-7338
Phone (888) 227-3312

5506 Rd
Suite 68
Pasco, WA 99301-9627
Phone (888) 227-3312

Hospital & facility affiliations

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

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
628MTMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Providence Health & Services Mt CurrentSince Jul 1, 2013 Accepting new patients
Providence Health & Services Mt CurrentSince Jul 1, 2013 Accepting new patients
Providence Health & Services - Washington Past Accepting new patients
Providence Health & Services Mt Past Accepting new patients

Locations

5549 Old US Highway 93
Florence, MT 59833
Phone (406) 273-4923

500 W Broadway St
Missoula, MT 59802
Phone (406) 327-1918

500 W Broadway St
Ste 320
Missoula, MT 59802
Phone (406) 329-2945

3075 N Reserve St
Ste Q
Missoula, MT 59808
Phone (406) 327-1750

6 13th Ave E
Polson, MT 59860
Phone (406) 883-5377

Interoperability endpoints

  • Direct secure messaging: owestereng132586@oc.providencedirect.org
  • Direct secure messaging: owestereng132545@wm.providencedirect.org

Organizations & group practices 7

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": "1286409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713744000000",
    "number": "1295044394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2928",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972082928",
            "telephone_number": "424-207-5155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3624 BROOKS ST STE 101",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598017338",
            "telephone_number": "888-227-3312"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3075 N Reserve St Ste Q",
            "address_purpose": "LOCATION",
            "city": "Missoula",
            "state": "MT",
            "postal_code": "598081390",
            "country_code": "US",
            "telephone_number": "406-327-1750",
            "fax_number": "406-327-1960",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WESTERENG",
        "first_name": "OIVIND",
        "middle_name": "FREDERICK",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-10-07",
        "last_updated": "2024-04-22",
        "certification_date": "2024-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MT",
            "license": "628",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "owestereng132545@wm.providencedirect.org",
            "affiliation": "N",
            "address_1": "3075 N Reserve St Ste Q",
            "city": "Missoula",
            "state": "MT",
            "country_code": "US",
            "postal_code": "598081390",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Missoula, MT

Sources for this page

Verify at the official NPI Registry.