Individual provider Active NPI

Tami Mellinger, FNP-C

  • Family Nurse Practitioner
  • Missoula, MT
National Provider Identifier
1396896569
Registry record updated Oct 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN020602 Issued in MT
Practice address
2230 N Reserve St Ste 110
Missoula, MT 59808-1364
Phone
(406) 926-5111
NPI assigned
Jan 15, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2025

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 RN020602 MT Primary

Addresses

Primary practice location

2230 N Reserve St Ste 110
Missoula, MT 59808-1364

Mailing address

5112 4TH Ave N Apt 4
Great Falls, MT 59405-1338
Phone (406) 750-8776

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050204000259 MT Practitioner - Nurse Practitioner 2668423831 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Greater Good Health PC IncGroup PAC ID 5294106027, 48 clinicians

Practice addresses (Care Compare)

2230 N Reserve St
Suite 110
Missoula, MT 59808-1364
Phone (310) 658-3775

Hospital & facility affiliations

  • Community Medical Center Hospital, Missoula, MT, CCN 270023
  • St. Patrick Hospital Hospital, Missoula, MT, CCN 270014

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN020602MTMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Greater Good Health PC, Inc. CurrentSince Sep 8, 2025 Accepting new patients
Greater Good Health PC, Inc. CurrentSince Sep 8, 2025 Accepting new patients
Frances Mahon Deaconess Hospital Past Accepting new patients
Comprehensive Medical Rehabilitation Services, PC Past Accepting new patients

Locations

2230 N Reserve St
Ste 110
Missoula, MT 59808
Phone (310) 658-3775

Interoperability endpoints

  • Direct secure messaging: tami.mellinger.1@28616.direct.athenahealth.com

Organizations & group practices 4

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.

Hospital & facility affiliations 5

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": "1168819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761868800000",
    "number": "1396896569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5112 4TH AVE N APT 4",
            "city": "GREAT FALLS",
            "state": "MT",
            "postal_code": "594051338",
            "telephone_number": "406-750-8776",
            "fax_number": "406-727-0007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2230 N RESERVE ST STE 110",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598081364",
            "telephone_number": "406-926-5111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MELLINGER",
        "first_name": "TAMI",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-15",
        "last_updated": "2025-10-31",
        "certification_date": "2025-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MT",
            "license": "RN020602",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Missoula, MT

Sources for this page

Verify at the official NPI Registry.