Individual provider Active NPI

Rebecca Hintze, PAC

  • Physician Assistant
  • Livingston, MT
National Provider Identifier
1427145036
Registry record updated Jan 31, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
172 Issued in MT
Practice address
126 S Main St
Community Health Partners
Livingston, MT 59047
Phone
(406) 222-1111
Fax
(406) 823-6305
NPI assigned
Oct 6, 2006
Last updated
Jan 31, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 172 MT Primary

Addresses

Primary practice location

126 S Main St
Community Health Partners
Livingston, MT 59047

Mailing address

126 S Main St
Livingston, MT 59047-2624
Phone (406) 922-0871

Other identifiers 1

IdentifierTypeStateIssuer
306119MedicaidMT

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
I20080715000687 MT Practitioner - Physician Assistant 0840363453 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
172MTMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Bighorn Valley Health Center, Incorporated CurrentSince Apr 1, 2002 Accepting new patients

Locations

915 Highland Blvd
Bozeman, MT 59715
Phone (406) 414-1720

112 W Lewis St
Livingston, MT 59047
Phone (406) 222-1111

126 S Main St
Livingston, MT 59047
Phone (406) 222-1111

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1160092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1327968000000",
    "number": "1427145036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "126 S MAIN ST",
            "city": "LIVINGSTON",
            "state": "MT",
            "postal_code": "590472624",
            "telephone_number": "406-922-0871",
            "fax_number": "406-823-6305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "126 S MAIN ST",
            "address_2": "COMMUNITY HEALTH PARTNERS",
            "city": "LIVINGSTON",
            "state": "MT",
            "postal_code": "59047",
            "telephone_number": "406-222-1111",
            "fax_number": "406-823-6305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HINTZE",
        "first_name": "REBECCA",
        "credential": "PAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-06",
        "last_updated": "2012-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MT",
            "license": "172",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "306119",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Livingston, MT

Sources for this page

Verify at the official NPI Registry.