Individual provider Active NPI

Kally Marie Hasenkrug, FNP

  • Family Nurse Practitioner
  • Great Falls, MT
National Provider Identifier
1306192646
Registry record updated Jun 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
100684 Issued in MT
Practice address
2720 10TH Ave S
Great Falls, MT 59405-3240
Phone
(406) 731-8888
Fax
(406) 731-8318
NPI assigned
Jul 24, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 100684 MT
Family Nurse Practitioner 363LF0000X 100684 MT Primary

Addresses

Primary practice location

2720 10TH Ave S
Great Falls, MT 59405-3240

Mailing address

2720 10TH Ave S
Pediatrics
Great Falls, MT 59405-3240
Phone (406) 731-8888

Other practice location 1

1401 25th St S
Great Falls, MT 59405-5183
Phone (406) 731-8888

Other practice location 2

1101 26th St S
Great Falls, MT 59405-5161
Phone (406) 455-5000

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address khasenkrug18903@benefishs.direct-ci.com Benefis Hospitals Inc
Direct Messaging Address benefishealthsystem@direct.summit-healthcare.org Benefis Hospitals Inc

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
I20121102000125 MT Practitioner - Nurse Practitioner 4587814371 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
32763MTMDFamily Nurse Practitioner
100684MTMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Benefis Hospitals Inc CurrentSince Oct 1, 2012 Accepting new patients
Benefis Hospitals, Inc. Past Accepting new patients

Locations

2720 10th Ave S
Fl 2
Great Falls, MT 59405
Phone (406) 731-8865

2720 10th Ave S
#1
Great Falls, MT 59405

1101 26th St S
Great Falls, MT 59405
Phone (406) 455-4690

1401 25th St S
Great Falls, MT 59405
Phone (406) 455-3650

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1343088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781654400000",
    "number": "1306192646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2720 10TH AVE S",
            "address_2": "PEDIATRICS",
            "city": "GREAT FALLS",
            "state": "MT",
            "postal_code": "594053240",
            "telephone_number": "406-731-8888",
            "fax_number": "406-731-8318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2720 10TH AVE S",
            "city": "GREAT FALLS",
            "state": "MT",
            "postal_code": "594053240",
            "telephone_number": "406-731-8888",
            "fax_number": "406-731-8318"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1401 25th St S",
            "address_purpose": "LOCATION",
            "city": "Great Falls",
            "state": "MT",
            "postal_code": "594055183",
            "country_code": "US",
            "telephone_number": "406-731-8888",
            "fax_number": "406-731-8318",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1101 26th St S",
            "address_purpose": "LOCATION",
            "city": "Great Falls",
            "state": "MT",
            "postal_code": "594055161",
            "country_code": "US",
            "telephone_number": "406-455-5000",
            "fax_number": "406-731-8318",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HASENKRUG",
        "first_name": "KALLY",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-24",
        "last_updated": "2026-06-17",
        "certification_date": "2026-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MT",
            "license": "100684",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MT",
            "license": "100684",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "khasenkrug18903@benefishs.direct-ci.com",
            "affiliation": "Y",
            "affiliationName": "Benefis Hospitals Inc",
            "address_1": "1101 26th St S",
            "city": "Great Falls",
            "state": "MT",
            "country_code": "US",
            "postal_code": "594055161",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "benefishealthsystem@direct.summit-healthcare.org",
            "affiliation": "Y",
            "affiliationName": "Benefis Hospitals Inc",
            "address_1": "1101 26th St S",
            "city": "Great Falls",
            "state": "MT",
            "country_code": "US",
            "postal_code": "594055161",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Great Falls, MT

Sources for this page

Verify at the official NPI Registry.