Individual provider Active NPI

Stephanie G Dever, APRN, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Warm Springs, MT
National Provider Identifier
1427314632
Registry record updated Sep 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
146565 Issued in MT
Practice address
300 Garnet Way
Warm Springs, MT 59756-9700
Phone
(406) 693-7000
NPI assigned
Apr 2, 2012
Last updated
Sep 22, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 146565 MT Primary

Addresses

Primary practice location

300 Garnet Way
Warm Springs, MT 59756-9700

Mailing address

300 Garnet Way
Warm Springs, MT 59756-9700
Phone (406) 693-7000

Other practice location 1

222 Tongass Dr
Sitka, AK 99835-9416
Phone (907) 966-8331 ext. 8681

Other practice location 2

357 Stagecoach Rd # 2
Butte, MT 59701-7702
Phone (907) 617-3271

Other practice location 3

400 S Clark St # 2
Butte, MT 59701-2328
Phone (406) 723-2500

Other names 1

  • Stephanie G Dever Former name

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
I20200527001242 MT Practitioner - Nurse Practitioner 0547681710 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
146565MTMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
State of Montana CurrentSince Mar 1, 2020 Accepting new patients
State of Montana CurrentSince Mar 1, 2020 Accepting new patients

Locations

400 Veterans Dr
Columbia Fls, MT 59912
Phone (406) 892-3256

111 N Sanders St
#30
Helena, MT 59601

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": "1333324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600732800000",
    "number": "1427314632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 GARNET WAY",
            "city": "WARM SPRINGS",
            "state": "MT",
            "postal_code": "597569700",
            "telephone_number": "406-693-7000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 GARNET WAY",
            "city": "WARM SPRINGS",
            "state": "MT",
            "postal_code": "597569700",
            "telephone_number": "406-693-7000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "222 Tongass Dr",
            "address_purpose": "LOCATION",
            "city": "Sitka",
            "state": "AK",
            "postal_code": "998359416",
            "country_code": "US",
            "telephone_number": "907-966-8331 x8681",
            "fax_number": "907-966-8830",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "357 Stagecoach Rd # 2",
            "address_purpose": "LOCATION",
            "city": "Butte",
            "state": "MT",
            "postal_code": "597017702",
            "country_code": "US",
            "telephone_number": "907-617-3271",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "400 S Clark St # 2",
            "address_purpose": "LOCATION",
            "city": "Butte",
            "state": "MT",
            "postal_code": "597012328",
            "country_code": "US",
            "telephone_number": "406-723-2500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DEVER",
        "first_name": "STEPHANIE",
        "middle_name": "G",
        "credential": "APRN, PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-04-02",
        "last_updated": "2020-09-22",
        "certification_date": "2020-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MT",
            "license": "146565",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STEPHANIE",
            "last_name": "DEVER",
            "middle_name": "G",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Warm Springs, MT

Sources for this page

Verify at the official NPI Registry.