Individual provider Active NPI

Hannah Paige Yerxa, MD

  • Pediatrics Physician
  • Missoula, MT
National Provider Identifier
1376004713
Registry record updated Jan 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
MED-PHYS-LIC-112540 Issued in MT
Practice address
2827 Fort Missoula Rd
Missoula, MT 59804-7408
Phone
(406) 728-4100
NPI assigned
Mar 28, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X MED-PHYS-LIC-112540 MT Primary

Addresses

Primary practice location

2827 Fort Missoula Rd
Missoula, MT 59804-7408

Mailing address

2827 Fort Missoula Rd
Missoula, MT 59804-7408
Phone (406) 728-4100

Other practice location 1

500 W Broadway St
Missoula, MT 59802-4008
Phone (406) 543-7271

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230523001852 MT Practitioner - Pediatric Medicine 7810226438 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MED-PHYS-LIC-112540MTMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Providence Health & Services Mt Pediatrics CurrentSince Apr 16, 2023 Accepting new patients
Providence Health & Services Mt CurrentSince Apr 16, 2023 Accepting new patients
Providence Health & Services Mt Current Accepting new patients
RCHP Billings - Missoula LLC Current Accepting new patients
Providence Health & Services Mt Past Accepting new patients
RCHP Billings - Missoula LLC Past Accepting new patients

Locations

500 W Broadway St
Missoula, MT 59802
Phone (406) 327-1918

500 W Broadway St
Ste 320
Missoula, MT 59802
Phone (406) 329-2945

2827 Fort Missoula Rd
Missoula, MT 59804
Phone (406) 327-4202

Interoperability endpoints

  • Direct secure messaging: hyerxa@direct.communitymed.org

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.

NPI Registry JSON

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

{
    "created_epoch": "1553731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673308800000",
    "number": "1376004713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2827 FORT MISSOULA RD",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598047408",
            "telephone_number": "406-728-4100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2827 FORT MISSOULA RD",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598047408",
            "telephone_number": "406-728-4100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "500 W Broadway St",
            "address_purpose": "LOCATION",
            "city": "Missoula",
            "state": "MT",
            "postal_code": "598024008",
            "country_code": "US",
            "telephone_number": "406-543-7271",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YERXA",
        "first_name": "HANNAH",
        "middle_name": "PAIGE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-28",
        "last_updated": "2023-01-10",
        "certification_date": "2023-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MT",
            "license": "MED-PHYS-LIC-112540",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Missoula, MT

Sources for this page

Verify at the official NPI Registry.