Individual provider Active NPI

Liese Pessl, NPF

  • Family Nurse Practitioner
  • Bozeman, MT
National Provider Identifier
1447347281
Registry record updated Jan 31, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN22756 Issued in MT
Practice address
214 E Mendenhall St
Gallatin Community Clinic
Bozeman, MT 59715-3638
Phone
(406) 525-1360
Fax
(406) 823-6305
NPI assigned
Oct 5, 2006
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
Family Nurse Practitioner 363LF0000X RN22756 MT Primary

Addresses

Primary practice location

214 E Mendenhall St
Gallatin Community Clinic
Bozeman, MT 59715-3638

Mailing address

126 S Main St
Community Health Partners
Livingston, MT 59047-2624
Phone (406) 222-1111

Other identifiers 1

IdentifierTypeStateIssuer
307502MedicaidMT

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
I20100312000269 MT Practitioner - Nurse Practitioner 5890820161 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2002
Medicare assignment
May accept Medicare assignment
Group practices
Community Health Partners Inc 34 clinicians
Bighorn Valley Health Center Incorporated 85 clinicians

Practice addresses (Care Compare)

112 W Lewis St
Livingston, MT 59047-3011

1695 Tschache LN
Bozeman, MT 59715-7965
Phone (406) 585-1360

19 E Main St
Belgrade, MT 59714-3715
Phone (406) 924-5754

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN22756MTMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Bighorn Valley Health Center, Incorporated CurrentSince Jan 22, 2025 Accepting new patients
Bighorn Valley Health Center, Incorporated CurrentSince Dec 17, 2009 Accepting new patients
Bighorn Valley Health Center, Incorporated CurrentSince Dec 17, 2009 Accepting new patients
Bighorn Valley Health Center Incorporated CurrentSince Jan 22, 2025 Accepting new patients
Bighorn Valley Health Center Incorporated Current Accepting new patients

Locations

214 E Mendenhall St
Bozeman, MT 59715
Phone (406) 585-1360

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

1695 Tschache Ln
Bozeman, MT 59715
Phone (406) 585-1360

10 4th St W
Ste B
Hardin, MT 59034
Phone (406) 237-5845

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 24

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.

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1327968000000",
    "number": "1447347281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "126 S MAIN ST",
            "address_2": "COMMUNITY HEALTH PARTNERS",
            "city": "LIVINGSTON",
            "state": "MT",
            "postal_code": "590472624",
            "telephone_number": "406-222-1111",
            "fax_number": "406-823-6305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "214 E MENDENHALL ST",
            "address_2": "GALLATIN COMMUNITY CLINIC",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597153638",
            "telephone_number": "406-525-1360",
            "fax_number": "406-823-6305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PESSL",
        "first_name": "LIESE",
        "credential": "NPF",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-05",
        "last_updated": "2012-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MT",
            "license": "RN22756",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "307502",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bozeman, MT

Sources for this page

Verify at the official NPI Registry.