Individual provider Active NPI

Karie Marie Pietrykowski, APRN-CNP

  • Family Nurse Practitioner
  • Great Falls, MT
National Provider Identifier
1356828826
Registry record updated Jul 26, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
131527 Issued in MT
Practice address
115 4TH St S
Great Falls, MT 59401
Phone
(406) 454-6973
NPI assigned
Jul 26, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 131527 MT
Family Nurse Practitioner 363LF0000X 131527 MT Primary

Addresses

Primary practice location

115 4TH St S
Great Falls, MT 59401

Mailing address

115 4TH St S
Great Falls, MT 59401-3618

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20210322002128 AZ Practitioner - Nurse Practitioner 5193064970 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
131527MTMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Wings of Hope Medical Services, LLC Internal Medicine CurrentSince Dec 11, 2023 Accepting new patients

Locations

11022 N 28th Dr
Ste 270
Phoenix, AZ 85029
Phone (602) 971-0304

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.

NPI Registry JSON

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

{
    "created_epoch": "1532563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532563200000",
    "number": "1356828826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 4TH ST S",
            "city": "GREAT FALLS",
            "state": "MT",
            "postal_code": "594013618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 4TH ST S",
            "city": "GREAT FALLS",
            "state": "MT",
            "postal_code": "59401",
            "telephone_number": "406-454-6973"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIETRYKOWSKI",
        "first_name": "KARIE",
        "middle_name": "MARIE",
        "credential": "APRN-CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-26",
        "last_updated": "2018-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MT",
            "license": "131527",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MT",
            "license": "131527",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Great Falls, MT

Sources for this page

Verify at the official NPI Registry.