Individual provider Active NPI

Shena M Oneill, FNP

  • Family Nurse Practitioner
  • Missoula, MT
National Provider Identifier
1346984408
Registry record updated Jan 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
191027 Issued in MT
Practice address
2875 Tina Ave Ste 101
Missoula, MT 59808-1582
Phone
(406) 728-3366
Fax
(406) 728-0651
NPI assigned
Apr 25, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hospice and Palliative Medicine (Family Medicine) Physician 207QH0002X NUR-APRN-LIC-191027 MT
Family Nurse Practitioner 363LF0000X 191027 MT Primary

Addresses

Primary practice location

2875 Tina Ave Ste 101
Missoula, MT 59808-1582

Mailing address

2875 Tina Ave Ste 101
Missoula, MT 59808-1582
Phone (406) 728-3366

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
I20220628003158 MT Practitioner - Nurse Practitioner 0840679437 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Five Valleys UrologyGroup PAC ID 3870497571, 7 clinicians

Practice addresses (Care Compare)

2875 Tina Rd
Suite 101
Missoula, MT 59808
Phone 40672833665651

Hospital & facility affiliations

  • St. Patrick Hospital Hospital, Missoula, MT, CCN 270014
  • Community Medical Center Hospital, Missoula, MT, CCN 270023
  • St Luke Community Hospital Hospital, Ronan, MT, CCN 271325
  • Bitterroot Health - Daly Hospital Hospital, Hamilton, MT, CCN 271340
  • Providence St Joseph Medical Center Hospital, Polson, MT, CCN 271343

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
NUR-APRN-LIC-191027MTMDHospice and Palliative Medicine (Family Medicine) Physician
191027MTMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Five Valleys Urology CurrentSince Jul 18, 2022 Accepting new patients

Locations

2875 Tina Ave
Ste 101
Missoula, MT 59808
Phone (406) 728-3366

Interoperability endpoints

  • Direct secure messaging: soneill@fvu.emadirect.md

Organizations & group practices 1

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.

Hospital & facility affiliations 8

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": "1650844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672963200000",
    "number": "1346984408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2875 TINA AVE STE 101",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598081582",
            "telephone_number": "406-728-3366",
            "fax_number": "406-728-0651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2875 TINA AVE STE 101",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598081582",
            "telephone_number": "406-728-3366",
            "fax_number": "406-728-0651"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ONEILL",
        "first_name": "SHENA",
        "middle_name": "M",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-25",
        "last_updated": "2023-01-06",
        "certification_date": "2023-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QH0002X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Hospice and Palliative Medicine",
            "state": "MT",
            "license": "NUR-APRN-LIC-191027",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MT",
            "license": "191027",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Missoula, MT

Sources for this page

Verify at the official NPI Registry.