Individual provider Active NPI

Teresa D Smith-Keil, FNP-C

  • Family Nurse Practitioner
  • Choteau, MT
National Provider Identifier
1467475079
Registry record updated Dec 28, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
14907 Issued in MT
Practice address
915 4TH St NW
Choteau, MT 59422-9123
Phone
(406) 466-5763
Fax
(406) 466-5842
NPI assigned
Jul 25, 2006
Last updated
Dec 28, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 22046.0304 WY
Family Nurse Practitioner 363LF0000X 14907 MT Primary

Addresses

Primary practice location

915 4TH St NW
Choteau, MT 59422-9123

Mailing address

915 4TH St NW
Choteau, MT 59422-9123
Phone (406) 466-5763

Other identifiers 3

IdentifierTypeStateIssuer
456807MedicaidMT
121007600MedicaidWY
313564OtherWYINDIVIDUAL BLUE CROSS NUM

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
I20070301000565 MT Practitioner - Nurse Practitioner 7911971197 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
14907MTMDFamily Nurse Practitioner
22046.0304WYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Benefis Hospitals Inc CurrentSince Jun 1, 2022 Accepting new patients
Clay Pot Counseling, Inc. Past Accepting new patients
Urgent Care of Wyoming Inc. Past Accepting new patients
Doctor's Care Inc Past Accepting new patients
Frenchtown Family Practice PastSince Apr 10, 2007 Accepting new patients

Locations

915 4th St NW
Choteau, MT 59422
Phone (406) 466-5763

1101 26th St S
Great Falls, MT 59405
Phone (406) 455-4690

1101 26th St S
Fl 5
Great Falls, MT 59405
Phone (406) 455-2132

25 14th Ave NW
Great Falls, MT 59404
Phone (406) 455-4777

Organizations & group practices 6

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": "1153785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1514419200000",
    "number": "1467475079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "915 4TH ST NW",
            "city": "CHOTEAU",
            "state": "MT",
            "postal_code": "594229123",
            "telephone_number": "406-466-5763",
            "fax_number": "406-466-5842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "915 4TH ST NW",
            "city": "CHOTEAU",
            "state": "MT",
            "postal_code": "594229123",
            "telephone_number": "406-466-5763",
            "fax_number": "406-466-5842"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH-KEIL",
        "first_name": "TERESA",
        "middle_name": "D",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-25",
        "last_updated": "2017-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WY",
            "license": "22046.0304",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MT",
            "license": "14907",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "456807",
            "state": "MT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "121007600",
            "state": "WY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL BLUE CROSS NUM",
            "identifier": "313564",
            "state": "WY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Choteau, MT

Sources for this page

Verify at the official NPI Registry.