Individual provider Active NPI

Jennifer Fowler, DO

  • Family Medicine Physician
  • Billings, MT
National Provider Identifier
1407012255
Registry record updated Aug 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
12714 Issued in MT
Practice address
3307 Grand Ave Ste 201
Billings, MT 59102-6551
Phone
(406) 894-2425
Fax
(406) 894-2426
NPI assigned
Jul 31, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 12714 MT Primary

Addresses

Primary practice location

3307 Grand Ave Ste 201
Billings, MT 59102-6551

Mailing address

3307 Grand Ave Ste 201
Billings, MT 59102-6551
Phone (406) 894-2425

Other practice location 1

2147 Overland Ave Ste 101
Billings, MT 59102-6478
Phone (406) 869-6560

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT, MT2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20201231001591 UT Order and Referring Only - Family PracticePractitioner - Family Practice 6103098637
I20210104000367 MT Order and Referring Only - Family PracticePractitioner - Family Practice 6103098637

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Frances Mahon Deaconess Hospital Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1217462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596412800000",
    "number": "1407012255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3307 GRAND AVE STE 201",
            "city": "BILLINGS",
            "state": "MT",
            "postal_code": "591026551",
            "telephone_number": "406-894-2425",
            "fax_number": "406-894-2426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3307 GRAND AVE STE 201",
            "city": "BILLINGS",
            "state": "MT",
            "postal_code": "591026551",
            "telephone_number": "406-894-2425",
            "fax_number": "406-894-2426"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2147 Overland Ave Ste 101",
            "address_purpose": "LOCATION",
            "city": "Billings",
            "state": "MT",
            "postal_code": "591026478",
            "country_code": "US",
            "telephone_number": "406-869-6560",
            "fax_number": "406-655-0845",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FOWLER",
        "first_name": "JENNIFER",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-31",
        "last_updated": "2020-08-03",
        "certification_date": "2020-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MT",
            "license": "12714",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Billings, MT

Sources for this page

Verify at the official NPI Registry.