Jessie Lyn Kautzman, MD

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

10036 Issued in MT

Practice address

401 S Alabama St Ste 6a
Butte, MT 59701-2358

Phone

(406) 563-7239

Fax

(406) 782-2890

NPI assigned

Nov 15, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Community Hospital of Anaconda

  • Critical Access Hospital
  • Anaconda, MT
  • NPI 1205887924
  Medicare reassignment NPD
• Community Hospital of Anaconda

  • Family Medicine Physician
  • Anaconda, MT
  • NPI 1538597703
  Medicare reassignment NPD
• SCL Health Medical Group-Butte LLC

  • Family Medicine Physician
  • Butte, MT
  • NPI 1477869600
  Medicare reassignment NPD
• Community Hospital of Anaconda

  • Surgery Physician
  • Anaconda, MT
  • NPI 1023623675
  NPD
• Community Hospital of Anaconda

  • Internal Medicine Physician
  • Anaconda, MT
  • NPI 1427153881
  NPD
• SCL Health Medical Group-Butte LLC

  • Rural Health Clinic/Center
  • Boulder, MT
  • NPI 1861031122

  Family Medicine

  NPD
• Community Hospital of Anaconda

  • Pediatric Adolescent Medicine Physician
  • Anaconda, MT
  • NPI 1992838288
  NPD (past)

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

{
    "created_epoch": "1132012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554076800000",
    "number": "1366424558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 W PENNSYLVANIA AVE STE 300",
            "city": "ANACONDA",
            "state": "MT",
            "postal_code": "597111999",
            "telephone_number": "406-563-8500",
            "fax_number": "406-563-8694"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 S ALABAMA ST STE 6A",
            "city": "BUTTE",
            "state": "MT",
            "postal_code": "597012358",
            "telephone_number": "406-563-7239",
            "fax_number": "406-782-2890"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "435 S Crystal St",
            "address_2": "Suite 300",
            "address_purpose": "LOCATION",
            "city": "Butte",
            "state": "MT",
            "postal_code": "597011506",
            "country_code": "US",
            "telephone_number": "406-496-3600",
            "fax_number": "406-496-3653",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KAUTZMAN",
        "first_name": "JESSIE",
        "middle_name": "LYN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-15",
        "last_updated": "2019-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MT",
            "license": "10036",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "MT",
            "license": "10036",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1366424558",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Melissa Kallweit, LCPC-C
• Minette Kappes
• Hannah Kasperick, FNP
• Kathren E McGree PLLC
• Raymond A Kaufman, M.D.
• Keith J. Popovich, M.D., PLLC
• Bethany Jeanne Kesler, LMT, NCTMB
• Kids Behavioral Health of Montana
• Kids Behavioral Health of Montana
• Kids Behavioral Health of Montana

• General Practice Physician in Butte, MT
• Providers in Butte, MT by specialty
• General Practice Physician in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.