Individual provider Active NPI

Elizabeth Wiener, APRN, FNP-C

  • Family Nurse Practitioner
  • Great Falls, MT
National Provider Identifier
1346639192
Registry record updated Sep 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP142113 Issued in TX
Practice address
405 3Rd St NW Ste 102&103
Great Falls, MT 59404
Phone
(406) 430-2035
NPI assigned
Jan 16, 2015
Last updated
Sep 5, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X T219923 TX
Family Nurse Practitioner 363LF0000X NUR-RN-LIC-47201 MT
Family Nurse Practitioner 363LF0000X AP142113 TX Primary

Addresses

Primary practice location

405 3Rd St NW Ste 102&103
Great Falls, MT 59404

Mailing address

405 3Rd St NW Ste 102&103
Great Falls, MT 59404-4111
Phone (406) 430-2035

Other practice location 1

8430 Broadway St
Pearland, TX 77584
Phone (855) 925-4733

Other practice location 2

8430 Broadway St
Pearland, TX 77584
Phone (855) 925-4733

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MT, NY, IN3 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
I20150318000030 MT Practitioner - Nurse Practitioner 2769709484 Reassigns benefits to 1 organization
I20230901002171 NY Practitioner - Nurse Practitioner 2769709484
I20231020000355 IN Practitioner - Nurse Practitioner 2769709484 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Greater Good Health PC IncGroup PAC ID 5294106027, 48 clinicians

Practice addresses (Care Compare)

405 3Rd St NW
Unit 102
Great Falls, MT 59404-4115
Phone (310) 658-3775

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
NUR-RN-LIC-47201MTMDFamily Nurse Practitioner
T219923TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Greater Good Health PC, Inc. CurrentSince Feb 8, 2024 Accepting new patients
Greater Good Health PC, Inc. Current Accepting new patients
Greater Good Health PC Inc CurrentSince Feb 8, 2024 Accepting new patients
Greater Good Health PC Inc CurrentSince Sep 8, 2024 Accepting new patients
Carelon Medical Partners of Kansas, PA Past Accepting new patients

Locations

405 3rd St NW
Ste 102103
Great Falls, MT 59404
Phone (310) 658-3775

405 3rd St NW
Unit 102
Great Falls, MT 59404
Phone (310) 658-3775

2230 N Reserve St
Ste 110
Missoula, MT 59808
Phone (310) 658-3775

Interoperability endpoints

  • Direct secure messaging: elizabeth.wiener.1@28616.direct.athenahealth.com

Organizations & group practices 6

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 6

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": "1421366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725494400000",
    "number": "1346639192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 3RD ST NW STE 102&103",
            "city": "GREAT FALLS",
            "state": "MT",
            "postal_code": "594044111",
            "telephone_number": "406-430-2035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 3RD ST NW STE 102&103",
            "city": "GREAT FALLS",
            "state": "MT",
            "postal_code": "59404",
            "telephone_number": "406-430-2035"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8430 Broadway St",
            "address_purpose": "LOCATION",
            "city": "Pearland",
            "state": "TX",
            "postal_code": "77584",
            "country_code": "US",
            "telephone_number": "855-925-4733",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8430 Broadway St",
            "address_purpose": "LOCATION",
            "city": "Pearland",
            "state": "TX",
            "postal_code": "77584",
            "country_code": "US",
            "telephone_number": "855-925-4733",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WIENER",
        "first_name": "ELIZABETH",
        "credential": "APRN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-01-16",
        "last_updated": "2024-09-05",
        "certification_date": "2024-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "T219923",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MT",
            "license": "NUR-RN-LIC-47201",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP142113",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Great Falls, MT

Sources for this page

Verify at the official NPI Registry.