Active NPI
Maile Christine Macaluso
- Family Nurse Practitioner
- Missoula, MT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- NUR-APRN-LIC-242966
- Practice address
- 3075 N Reserve St Ste Q
Missoula, MT 59808-1390 - Phone
- (406) 327-1750
- Fax
- (406) 327-1960
- NPI assigned
- Jan 1, 2019
- Last updated
- Oct 8, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | NUR-APRN-LIC-242966 | MT | Primary |
| Registered Nurse | 163W00000X | NUR-RN-LIC-48315 | MT |
Addresses
Primary practice location
3075 N Reserve St Ste Q
Missoula, MT 59808-1390
Mailing address
PO Box 12
Liberty Lake, WA 99019-0012
Phone (406) 327-1750
Other practice location 1
900 N Orange St
Missoula, MT 59802-2998
Phone (406) 329-5776
Other names 1
- Maile Christine Nunes
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3075 N Reserve St
Suite Q
Missoula, MT 59808-1390
Phone (406) 327-1850
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| NUR-APRN-LIC-242966 | MT | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Providence Health & Services Mt | Current | Accepting new patients | |
| Providence Health & Services Mt | Current | Accepting new patients | |
| Providence Health & Services Mt | Current | Accepting new patients |
Locations
3075 N Reserve St
Ste Q
Missoula, MT 59808
Phone (406) 327-1750
500 W Broadway St
Ste 320
Missoula, MT 59802
Phone (406) 329-2945
900 N Orange St
Missoula, MT 59802
Phone (406) 327-3300
Interoperability endpoints
- mmacaluso928549@wm.providencedirect.org
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba St Patrick Hospital Rehab
- Rehabilitation Hospital Unit
- Missoula, MT
- NPI 1144319138
-
dba Providence Medical Group Montana
- Family Medicine Physician
- Missoula, MT
- NPI 1215222617
-
- Cardiovascular Disease Physician
- Helena, MT
- NPI 1871750646
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Providence St Patrick Hospital
- General Acute Care Hospital
- Missoula, MT
- NPI 1023032588
-
dba Montana Cancer Center at Providence St. Patrick Hospital
- Medical Oncology Physician
- Missoula, MT
- NPI 1326483587
Hospital
-
dba St Patrick Hospital Pathology
- Anatomic Pathology & Clinical Pathology Physician
- Missoula, MT
- NPI 1366185928
Hospital
-
dba St Patrick Hospital Psych
- Psychiatric Hospital Unit
- Missoula, MT
- NPI 1619058302
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1546300800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1728345600000",
"number": "1366914335",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 12",
"city": "LIBERTY LAKE",
"state": "WA",
"postal_code": "990190012",
"telephone_number": "406-327-1750",
"fax_number": "406-327-1960"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3075 N RESERVE ST STE Q",
"city": "MISSOULA",
"state": "MT",
"postal_code": "598081390",
"telephone_number": "406-327-1750",
"fax_number": "406-327-1960"
}
],
"practiceLocations": [
{
"address_1": "900 N Orange St",
"address_purpose": "LOCATION",
"city": "Missoula",
"state": "MT",
"postal_code": "598022998",
"country_code": "US",
"telephone_number": "406-329-5776",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MACALUSO",
"first_name": "MAILE",
"middle_name": "CHRISTINE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-01-01",
"last_updated": "2024-10-08",
"certification_date": "2024-10-08",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MT",
"license": "NUR-APRN-LIC-242966",
"primary": true
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "MT",
"license": "NUR-RN-LIC-48315",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MAILE",
"last_name": "NUNES",
"middle_name": "CHRISTINE",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Missoula, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2024; 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.
- 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.