Active NPI
Connie S Reichelt, APRN, FNP
- Family Nurse Practitioner
- Havre, MT
National Provider Identifier
1346352895
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- RN24903
- Practice address
- 110 13TH St
Havre, MT 59501-5223 - Phone
- (406) 265-4541
- Fax
- (406) 265-2481
- NPI assigned
- Aug 31, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | RN24903 | MT | Primary |
Addresses
Primary practice location
110 13TH St
Havre, MT 59501-5223
Mailing address
110 13TH St
Havre, MT 59501-5223
Phone (406) 265-4541
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4303261 | Medicaid | MT | |
| RN24903 | Other | MT | RN LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN24903 | MT | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| High Plains Family Healthcare, LLC | Past | Accepting new patients | |
| Synergy Medical Care | Past | Accepting new patients | |
| High Plains Family Health Care | Family | Past | Accepting new patients |
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1346352895",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "110 13TH ST",
"city": "HAVRE",
"state": "MT",
"postal_code": "595015223",
"telephone_number": "406-265-4541",
"fax_number": "406-265-2481"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "110 13TH ST",
"city": "HAVRE",
"state": "MT",
"postal_code": "595015223",
"telephone_number": "406-265-4541",
"fax_number": "406-265-2481"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REICHELT",
"first_name": "CONNIE",
"middle_name": "S",
"credential": "APRN, FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-31",
"last_updated": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MT",
"license": "RN24903",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4303261",
"state": "MT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RN LICENSE",
"identifier": "RN24903",
"state": "MT"
}
],
"endpoints": [],
"other_names": []
}Other providers in Havre, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.