Individual provider Active NPI

Taylor Lynn Stille, ARNP

  • Nurse Practitioner
  • Missoula, MT
National Provider Identifier
1336661677
Registry record updated Nov 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
179437 Issued in MT
Practice address
401 Railroad St W
Missoula, MT 59802-4178
Phone
(406) 258-4789
Fax
(406) 258-4732
NPI assigned
Jul 7, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2021

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X A138311 IA
Family Nurse Practitioner 363LF0000X 138311 IA
Primary Care Nurse Practitioner 363LP2300X A138311 IA
Nurse Practitioner 363L00000X 179437 MT Primary

Addresses

Primary practice location

401 Railroad St W
Missoula, MT 59802-4178

Mailing address

401 Railroad St W
Missoula, MT 59802-4178
Phone (406) 258-4789

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
I20211228001976 MT Practitioner - Nurse Practitioner 2961773353 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Sunburst Health LLCGroup PAC ID 9335491612, 5 clinicians

Practice addresses (Care Compare)

2620 Connery Way
Missoula, MT 59808-1325
Phone (406) 203-9948

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
179437MTMDNurse Practitioner
138311IAMDFamily Nurse Practitioner
A138311IAMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Community Health Center of Fort Dodge, Inc. CurrentSince Sep 1, 2018 Accepting new patients
Sunburst Health LLC Nurse Practitioner CurrentSince Dec 5, 2025 Accepting new patients
Community Health Center of Fort Dodge Inc. Current Accepting new patients

Locations

24 S Main St
Dayton, IA 50530
Phone (515) 547-2974

126 N 10th St
Fort Dodge, IA 50501
Phone (515) 576-6500

404 N Federal Ave
Mason City, IA 50401
Phone (641) 450-0601

2216 Boothill Ct
Ste 3
Bozeman, MT 59715
Phone (406) 600-5007

2282 US Highway 93 S
Kalispell, MT 59901
Phone (406) 756-8721

2620 Connery Way
Missoula, MT 59808
Phone (406) 203-9948

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1499385600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636588800000",
    "number": "1336661677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 RAILROAD ST W",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598024178",
            "telephone_number": "406-258-4789",
            "fax_number": "406-258-4732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 RAILROAD ST W",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598024178",
            "telephone_number": "406-258-4789",
            "fax_number": "406-258-4732"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STILLE",
        "first_name": "TAYLOR",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-07",
        "last_updated": "2021-11-11",
        "certification_date": "2021-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IA",
            "license": "A138311",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IA",
            "license": "138311",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "IA",
            "license": "A138311",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MT",
            "license": "179437",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Missoula, MT

Sources for this page

Verify at the official NPI Registry.