Individual provider Active NPI

Hallie Ann Kerins Tipton, MD

  • Family Medicine Physician
  • Dillon, MT
National Provider Identifier
1447546601
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
33364 Issued in MT
Practice address
30 Mt Highway 91 S
Dillon, MT 59725-3535
Phone
(406) 683-1188
NPI assigned
Jun 24, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 6086 AK
Family Medicine Physician 207Q00000X 33364 MT Primary

Addresses

Primary practice location

30 Mt Highway 91 S
Dillon, MT 59725-3535

Mailing address

30 Mt Highway 91 S
Dillon, MT 59725-3535
Phone (406) 683-1188

Other identifiers 2

IdentifierTypeStateIssuer
33364OtherMTMT STATE BOARD OF MEDICAL EXAMINERS
MD9635MedicaidAK

Other names 1

  • Hallie Ann Kerins Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address HTIPTON448102@WM.PROVIDENCEDIRECT.ORG

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150121001308 MT Practitioner - Family PracticePractitioner - Obstetrics/Gynecology 3870747231 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Obstetrics/Gynecology
Education
University of Washington School of Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
St Peters HealthGroup PAC ID 7911814926, 206 clinicians

Practice addresses (Care Compare)

3330 Ptarmigan LN
Helena, MT 59602-0521
Phone (406) 457-4180

Hospital & facility affiliations

  • Benefis Community Care Inc Home health agency, Great Falls, MT, CCN 277090
  • St Peter'S Health Home Health and Hospice Home health agency, Helena, MT, CCN 277072
  • St Peters Health Hospital, Helena, MT, CCN 270003

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
6086AKMDFamily Medicine Physician
33364MTMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St Peter'S Health Current Accepting new patients
St. Peter'S Health CurrentSince Jul 1, 2023 Accepting new patients
St. Peter'S Health CurrentSince Jul 1, 2023 Accepting new patients

Locations

2475 E Broadway St
Helena, MT 59601
Phone (406) 442-2480

3330 Ptarmigan Ln
Helena, MT 59602
Phone (406) 442-3570

Interoperability endpoints

  • Direct secure messaging: htipton448102@wm.providencedirect.org

Organizations & group practices 3

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 6

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": "1308873600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1447546601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 MT HIGHWAY 91 S",
            "city": "DILLON",
            "state": "MT",
            "postal_code": "597253535",
            "telephone_number": "406-683-1188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 MT HIGHWAY 91 S",
            "city": "DILLON",
            "state": "MT",
            "postal_code": "597253535",
            "telephone_number": "406-683-1188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TIPTON",
        "first_name": "HALLIE",
        "middle_name": "ANN KERINS",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-24",
        "last_updated": "2023-03-07",
        "certification_date": "2021-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AK",
            "license": "6086",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MT",
            "license": "33364",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MT STATE BOARD OF MEDICAL EXAMINERS",
            "identifier": "33364",
            "state": "MT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "MD9635",
            "state": "AK"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "HTIPTON448102@WM.PROVIDENCEDIRECT.ORG",
            "affiliation": "N",
            "address_1": "30 Mt Highway 91 S",
            "city": "Dillon",
            "state": "MT",
            "country_code": "US",
            "postal_code": "597253535",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "HALLIE",
            "last_name": "KERINS",
            "middle_name": "ANN",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Dillon, MT

Sources for this page

Verify at the official NPI Registry.