NPIMap

Individual provider Active NPI

Courtney Anne Austin, M.D.

  • Internal Medicine Physician
  • Whitefish, MT
National Provider Identifier
1326207333
Registry record updated Feb 24, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
25930 Issued in MT
Practice address
1111 Baker Ave
Whitefish, MT 59937-2901
Phone
(406) 862-2515
Fax
(406) 862-4229
NPI assigned
Jun 4, 2008
Last updated
Feb 24, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 25930 MT Primary
Pediatrics Physician 208000000X 25930 MT

Addresses

Primary practice location

1111 Baker Ave
Whitefish, MT 59937-2901

Mailing address

1111 Baker Ave
Whitefish, MT 59937-2901
Phone (406) 862-2515

Other identifiers 1

IdentifierTypeStateIssuer
1081965MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MT
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140106001451 MT Practitioner - Pediatric MedicinePractitioner - Internal Medicine 9335323831 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pediatric MedicineAlso: Internal Medicine
Education
Louisiana State University School of Medicine in New Orleans, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Glacier Medical AssociatesGroup PAC ID 7911981188, 23 clinicians

Practice addresses (Care Compare)

1111 Baker Ave
Whitefish, MT 59937-2901
Phone (406) 862-2515

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
58.05 of 100Reported as apm
Quality
70.8
Promoting interoperability
0
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions14

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
25930MTMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Glacier Medical Associates Internal Medicine CurrentSince Oct 14, 2013 Accepting new patients
Glacier Medical Associates Current Accepting new patients

Locations

500 12th Ave W
Columbia Falls, MT 59912
Phone (406) 257-2020

500 12th Ave W
Ste 1B
Columbia Fls, MT 59912

2310 US Highway 2 E
Ste 4
Kalispell, MT 59901
Phone (406) 862-2515

1111 Baker Ave
Uppr
Whitefish, MT 59937
Phone (406) 407-7990

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.

Hospital & facility affiliations 10

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": "1212537600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1393200000000",
    "number": "1326207333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 BAKER AVE",
            "city": "WHITEFISH",
            "state": "MT",
            "postal_code": "599372901",
            "telephone_number": "406-862-2515",
            "fax_number": "406-862-4229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 BAKER AVE",
            "city": "WHITEFISH",
            "state": "MT",
            "postal_code": "599372901",
            "telephone_number": "406-862-2515",
            "fax_number": "406-862-4229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AUSTIN",
        "first_name": "COURTNEY",
        "middle_name": "ANNE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-04",
        "last_updated": "2014-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MT",
            "license": "25930",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MT",
            "license": "25930",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1081965",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Whitefish, MT

Sources for this page

Verify at the official NPI Registry.