Individual provider Active NPI

Rebecca J Pogoda, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Bozeman, MT
National Provider Identifier
1386981678
Registry record updated Aug 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
101016 Issued in MT
Practice address
1871 S 22ND Ave Ste 3
Bozeman, MT 59718-7054
Phone
(406) 404-6769
NPI assigned
Jan 7, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 5, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 101016 MT Primary

Addresses

Primary practice location

1871 S 22ND Ave Ste 3
Bozeman, MT 59718-7054

Mailing address

1871 S 22ND Ave Ste 3
Bozeman, MT 59718-7054
Phone (406) 404-6769

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Apr 1, 2018 through Apr 1, 2028

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
101016MTMDPsychiatric/Mental Health Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1357516800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754352000000",
    "number": "1386981678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1871 S 22ND AVE STE 3",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597187054",
            "telephone_number": "406-404-6769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1871 S 22ND AVE STE 3",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597187054",
            "telephone_number": "406-404-6769"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POGODA",
        "first_name": "REBECCA",
        "middle_name": "J",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-01-07",
        "last_updated": "2025-08-05",
        "certification_date": "2025-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MT",
            "license": "101016",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bozeman, MT

Sources for this page

Verify at the official NPI Registry.