Active NPI
Alissa Monaco, APRN-FNP-C
- Family Nurse Practitioner
- Missoula, MT
National Provider Identifier
1396487294
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- NUR-APRN-LIC-193997
- Practice address
- 500 W Broadway St Ste 320
Missoula, MT 59802-4003 - Phone
- (406) 329-5615
- Fax
- (406) 329-5606
- NPI assigned
- Apr 11, 2022
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | NUR-APRN-LIC-193997 | MT | Primary |
Addresses
Primary practice location
500 W Broadway St Ste 320
Missoula, MT 59802-4003
Mailing address
PO Box 12
Liberty Lake, WA 99019-0012
Phone (406) 329-5615
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, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
500 W Broadway St
Missoula, MT 59802-4008
Phone (406) 329-5828
Hospital & facility affiliations
- St. Patrick Hospital
- Providence St Joseph Medical Center
- Community Hospital of Anaconda
- Bitterroot Health - Daly Hospital
- Barrett Hospital & Healthcare
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| NUR-APRN-LIC-193997 | 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
500 W Broadway St
Ste 320
Missoula, MT 59802
Phone (406) 329-2945
500 W Broadway St
Missoula, MT 59802
Phone (406) 327-1918
Interoperability endpoints
- amonaco205284@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 and National Provider Directory roles.
-
- Rehabilitation Hospital Unit
- Missoula, MT
- NPI 1144319138
-
- Spinal Cord Injury Medicine Physician
- Missoula, MT
- NPI 1063653897
-
- Family Medicine Physician
- Missoula, MT
- NPI 1215222617
Hospital & facility affiliations 15
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Dillon, MT
- NPI 1326042078
-
- Medicare Defined Swing Bed Hospital Unit
- Dillon, MT
- NPI 1326419102
-
- Critical Access Hospital
- Anaconda, MT
- NPI 1205887924
-
- Pediatric Adolescent Medicine Physician
- Anaconda, MT
- NPI 1992838288
Hospital
-
- Critical Access Hospital
- Hamilton, MT
- NPI 1659475846
-
- General Acute Care Hospital
- Missoula, MT
- NPI 1023032588
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1649635200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1651622400000",
"number": "1396487294",
"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": "406-329-5615",
"fax_number": "406-329-5606"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 W BROADWAY ST STE 320",
"city": "MISSOULA",
"state": "MT",
"postal_code": "598024003",
"telephone_number": "406-329-5615",
"fax_number": "406-329-5606"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MONACO",
"first_name": "ALISSA",
"credential": "APRN-FNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-04-11",
"last_updated": "2022-05-04",
"certification_date": "2022-05-04",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MT",
"license": "NUR-APRN-LIC-193997",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}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 May 4, 2022; 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.