Organization Active NPI

Frenchtown Family Medical & Wellness, PC

  • Family Nurse Practitioner
  • Frenchtown, MT
National Provider Identifier
1346807344
Registry record updated Jun 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
FRENCHTOWN FAMILY MEDICAL & WELLNESS, PC
Practice address
16862 Beckwith St Ste S
Frenchtown, MT 59834-9001
Phone
(406) 360-3352
NPI assigned
May 24, 2019
Last updated
Jun 28, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2019

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

Authorized official

Name
Stacey Lynn Riffe-Denton, APRN, FNP-BC
Title
Nurse Practitioner/Owner
Phone
(406) 360-3352

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X NU Primary

Addresses

Primary practice location

16862 Beckwith St Ste S
Frenchtown, MT 59834-9001

Mailing address

5429 Filly LN
Missoula, MT 59808-5465
Phone (406) 360-3352

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20191004002363 MT Part B Supplier - Clinic/Group Practice 6608107602 Receives reassigned benefits from 2 practitioners
Practice locations: Frenchtown, MT

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
27D2170595Frenchtown Family Medical Wellness, PC16862 Beckwith St Ste S, Frenchtown, MT 59834Certificate of waiverAug 13, 2027

National Provider Directory

National Provider Directory

Locations

16862 Beckwith St
Ste S
Frenchtown, MT 59834
Phone (406) 240-9284

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1558656000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1561680000000",
    "number": "1346807344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5429 FILLY LN",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598085465",
            "telephone_number": "406-360-3352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16862 BECKWITH ST STE S",
            "city": "FRENCHTOWN",
            "state": "MT",
            "postal_code": "598349001",
            "telephone_number": "406-360-3352"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRENCHTOWN FAMILY MEDICAL & WELLNESS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-24",
        "last_updated": "2019-06-28",
        "status": "A",
        "authorized_official_last_name": "RIFFE-DENTON",
        "authorized_official_first_name": "STACEY",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "NURSE PRACTITIONER/OWNER",
        "authorized_official_telephone_number": "406-360-3352",
        "authorized_official_credential": "APRN, FNP-BC"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Frenchtown, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.