NPIMap

Individual provider Active NPI

Hannah Elizabeth Watley, CNP

  • Acute Care Nurse Practitioner
  • Missoula, MT
National Provider Identifier
1356074520
Registry record updated Nov 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
NUR-APRN-LIC-195152 Issued in MT
Practice address
2835 Fort Missoula Rd Ste 203
Missoula, MT 59804-7424
Phone
(406) 327-4283
NPI assigned
Jul 6, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X NUR-APRN-LIC-195152 MT Primary

Addresses

Primary practice location

2835 Fort Missoula Rd Ste 203
Missoula, MT 59804-7424

Mailing address

2688 Quinn CT
Missoula, MT 59804-1207

Other practice location 1

1200 Westwood Dr Ste J
Hamilton, MT 59840-2345
Phone (406) 375-4758

Other identifiers 2

IdentifierTypeStateIssuer
1356074520MedicaidID
200009695MedicaidMT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MT
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220912001782 MT Practitioner - Nurse Practitioner 3870978877 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Tigris Nephrology PLLCGroup PAC ID 6901205632, 4 clinicians

Practice addresses (Care Compare)

1200 Westwood Dr
Hamilton, MT 59840-2345

1270 Westwood Dr
Suite 2
Hamilton, MT 59840-2345
Phone (406) 375-4758

2835 Fort Missoula Rd
Suite 203
Missoula, MT 59804-7424
Phone (406) 327-4283

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
NUR-APRN-LIC-195152MTMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Marcus Daly Memorial Hospital Corporation Current Accepting new patients
Marcus Daly Memorial Hospital Corporation Current Accepting new patients
Marcus Daly Memorial Hospital Corporation CurrentSince Oct 26, 2022 Accepting new patients
Tigris Nephrology PLLC CurrentSince Oct 3, 2022 Accepting new patients
Marcus Daly Memorial Hospital Corporation CurrentSince Oct 26, 2022 Accepting new patients
RCHP Billings - Missoula LLC PastSince Jul 10, 2022 Accepting new patients

Locations

1200 Westwood Dr
Ste J
Hamilton, MT 59840
Phone (406) 375-4758

1224 W Main St
Hamilton, MT 59840
Phone (406) 375-4823

1200 Westwood Dr
Hamilton, MT 59840
Phone (406) 363-2211

2835 Fort Missoula Rd
Ste 203
Missoula, MT 59804
Phone (406) 327-4091

Interoperability endpoints

  • Direct secure messaging: hannah.brummer.1@23552.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/23552/brand/1/csg/1/fhir/r4

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 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": "1657065600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731456000000",
    "number": "1356074520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2688 QUINN CT",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598041207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2835 FORT MISSOULA RD STE 203",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598047424",
            "telephone_number": "406-327-4283"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1200 Westwood Dr Ste J",
            "address_purpose": "LOCATION",
            "city": "Hamilton",
            "state": "MT",
            "postal_code": "598402345",
            "country_code": "US",
            "telephone_number": "406-375-4758",
            "fax_number": "406-206-0404",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WATLEY",
        "first_name": "HANNAH",
        "middle_name": "ELIZABETH",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-06",
        "last_updated": "2024-11-13",
        "certification_date": "2024-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "MT",
            "license": "NUR-APRN-LIC-195152",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1356074520",
            "state": "ID"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200009695",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Missoula, MT

Sources for this page

Verify at the official NPI Registry.