Abigail Grace Anderson, MD
Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Missoula, MT
NPI 1386448595 · NPPES record last updated Apr 4, 2025
Key facts
- NPI
- 1386448595
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Student in an Organized Health Care Education/Training Program 390200000X
- Practice address
- 401 Railroad St W
Missoula, MT 59802-4178 - Phone
- (406) 258-4789
- Fax
- (406) 258-4732
- NPI assigned
- Apr 4, 2025
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MT
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20251124002702 | MT | Order and Referring Only - Family Practice |
1557853801 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Yes |
Addresses
Primary practice location
401 Railroad St W
Missoula, MT 59802-4178
Mailing address
401 Railroad St W
Missoula, MT 59802-4178
Other providers in Missoula, MT
- Amy Friedman, LLC
- Amy Sellman PT PLLC
- Anchor Support Service
- Jillian Andersch
- Anderson Chiropractic PC
- Christina Lee Eidem Anderson
- Cordel A Anderson
- David L Anderson
- Emily Christine Anderson
- Kade Jesse Anderson
All providers in Missoula, MT · Student in an Organized Health Care Education/Training Program in Montana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 4, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.