NPIMap

Individual provider Active NPI

Desiree Cavan

  • Family Nurse Practitioner
  • Glasgow, MT
National Provider Identifier
1386161966
Registry record updated May 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
127143 Issued in MT
Practice address
221 5TH Ave S
Glasgow, MT 59230-2600
Phone
(406) 228-3400
NPI assigned
Aug 24, 2017
Last updated
May 12, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 12, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 127143 MT Primary

Addresses

Primary practice location

221 5TH Ave S
Glasgow, MT 59230-2600

Mailing address

15 E Main St
Belgrade, MT 59714-3714

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
I20171219000846 MT Practitioner - Nurse Practitioner 8022376102 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
SCL Health MontanaGroup PAC ID 3476457714, 38 clinicians

Practice addresses (Care Compare)

1041 N 29TH St
Billings, MT 59101-0731
Phone (303) 237-5577

1233 N 30TH St
Billings, MT 59101-0127
Phone (406) 237-3850

2900 12TH Ave N
Suite 500E
Billings, MT 59101-7500
Phone (406) 238-6800

2900 12TH Ave N
Suite 503E
Billings, MT 59101-7502
Phone (406) 237-5780

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
127143MTMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
SCL Health Medical Group - Billings, LLC CurrentSince Oct 8, 2022 Accepting new patients
SCL Health Montana Current Accepting new patients
SCL Health Montana CurrentSince Oct 2, 2023 Accepting new patients
SCL Health Medical Group - Billings, LLC CurrentSince Oct 8, 2022 Accepting new patients
SCL Health Medical Group - Billings LLC Current Accepting new patients
SCL Health Montana CurrentSince Oct 2, 2023 Accepting new patients
St. Vincent Healthcare Past Accepting new patients
Frances Mahon Deaconess Hospital Past Accepting new patients

Locations

1041 N 29th St
Billings, MT 59101
Phone (303) 237-5577

2019 Broadwater Ave
Billings, MT 59102
Phone (406) 237-5200

2900 12th Ave N
Ste 500E
Billings, MT 59101
Phone (406) 238-6380

2900 12th Ave N
Ste 503E
Billings, MT 59101
Phone (406) 237-5400

16 N Miles Ave
Hardin, MT 59034
Phone (406) 665-2205

Organizations & group practices 8

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.

Hospital & facility affiliations 7

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": "1503532800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620777600000",
    "number": "1386161966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 E MAIN ST",
            "city": "BELGRADE",
            "state": "MT",
            "postal_code": "597143714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "221 5TH AVE S",
            "city": "GLASGOW",
            "state": "MT",
            "postal_code": "592302600",
            "telephone_number": "406-228-3400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAVAN",
        "first_name": "DESIREE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-24",
        "last_updated": "2021-05-12",
        "certification_date": "2021-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MT",
            "license": "127143",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glasgow, MT

Sources for this page

Verify at the official NPI Registry.