Individual provider Active NPI

Katherine Denali Troxel

  • Nurse Practitioner
  • Polson, MT
National Provider Identifier
1417663444
Registry record updated Oct 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
241765 Issued in MT
Practice address
107 Ridgewater Dr
Polson, MT 59860-8977
Phone
(406) 994-3597
NPI assigned
Jan 24, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 241765 MT Primary

Addresses

Primary practice location

107 Ridgewater Dr
Polson, MT 59860-8977

Mailing address

107 Ridgewater Dr
Polson, MT 59860-8977
Phone (406) 883-3737

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
I20241112003997 MT Practitioner - Nurse Practitioner 3577097682 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Lukes Community HospitalGroup PAC ID 5496659567, 59 clinicians

Practice addresses (Care Compare)

104 Rufus LN
Polson, MT 59860-8903
Phone (406) 883-2555

107 6TH Ave SW
Ronan, MT 59864-2634
Phone (406) 676-4441

107 Ridgewater Dr
Polson, MT 59860-8977
Phone (406) 883-3737

126 6TH Ave SW
Ronan, MT 59864-2600
Phone (406) 676-3600

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
241765MTMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
St Lukes Community Hospital CurrentSince Oct 1, 2024 Accepting new patients
St Lukes Community Hospital CurrentSince Oct 1, 2024 Accepting new patients
St. Lukes Community Hospital Current Accepting new patients

Locations

107 6th Ave SW
Ronan, MT 59864
Phone (406) 676-3600

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 2

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": "1674518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729555200000",
    "number": "1417663444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 RIDGEWATER DR",
            "city": "POLSON",
            "state": "MT",
            "postal_code": "598608977",
            "telephone_number": "406-883-3737",
            "fax_number": "406-883-2669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 RIDGEWATER DR",
            "city": "POLSON",
            "state": "MT",
            "postal_code": "598608977",
            "telephone_number": "406-994-3597"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TROXEL",
        "first_name": "KATHERINE",
        "middle_name": "DENALI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-24",
        "last_updated": "2024-10-22",
        "certification_date": "2024-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MT",
            "license": "241765",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Polson, MT

Sources for this page

Verify at the official NPI Registry.