Active NPI
Betty J Nelson, CRNA
- Certified Registered Nurse Anesthetist
- Anaconda, MT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 101768
- Practice address
- 401 W Pennsylvania Ave
Anaconda, MT 59711-1999 - Phone
- (406) 563-8500
- Fax
- (406) 563-8694
- NPI assigned
- Sep 7, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | AP30001970 | WA | |
| Certified Registered Nurse Anesthetist | 367500000X | 101768 | MT | Primary |
Addresses
Primary practice location
401 W Pennsylvania Ave
Anaconda, MT 59711-1999
Mailing address
401 W Pennsylvania Ave
Anaconda, MT 59711-1999
Phone (406) 563-8500
Other practice location 1
835 SE Bishop Blvd
Pullman, WA 99163-5512
Phone (509) 332-2541
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275515660 | Other | MT | NPI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MT, AK
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160204001361 | MT | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 6406743954 | Reassigns benefits to 5 organizations |
| I20250505000948 | AK | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 6406743954 | Reassigns benefits to 2 organizations |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 101768 | MT | MD | Certified Registered Nurse Anesthetist |
| AP30001970 | WA | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Hospital of Anaconda | Current | Accepting new patients | |
| Community Hospital of Anaconda | Current | Accepting new patients | |
| Community Hospital of Anaconda | Current | Accepting new patients | |
| Providence Health & Services Washington | Current | Accepting new patients | |
| Missoula Community Health Services, Inc | Current | Accepting new patients | |
| Providence Health & Services - Washington | Current | Accepting new patients | |
| Missoula Community Health Services, Inc | Current | Accepting new patients | |
| Missoula Community Health Services, Inc. | Current | Accepting new patients | |
| Missoula Community Health Services, Inc. | Current | Accepting new patients | |
| Community Hospital of Anaconda | Current | Accepting new patients |
Locations
1915 E Rezanof Dr
Kodiak, AK 99615
Phone (907) 486-3281
401 W Pennsylvania Ave
Anaconda, MT 59711
Phone (406) 563-5261
305 W Pennsylvania Ave
Anaconda, MT 59711
Phone (406) 563-8571
1208 6th Ave
Superior, MT 59872
Phone (406) 683-3401
Organizations & group practices 11
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.
-
- Emergency Medical Services (Emergency Medicine) Physician
- Kodiak, AK
- NPI 1952430902
AK
-
- Surgery Physician
- Anaconda, MT
- NPI 1023623675
-
- Surgery Physician
- Anaconda, MT
- NPI 1639345341
-
- Multi-Specialty Clinic/Center
- Superior, MT
- NPI 1073080461
-
- Family Medicine Physician
- Saint Regis, MT
- NPI 1225836554
-
- Home Health Agency
- Kodiak, AK
- NPI 1891899597
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157587200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1613520000000",
"number": "1467555847",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "401 W PENNSYLVANIA AVE",
"city": "ANACONDA",
"state": "MT",
"postal_code": "597111999",
"telephone_number": "406-563-8500",
"fax_number": "406-563-8694"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "401 W PENNSYLVANIA AVE",
"city": "ANACONDA",
"state": "MT",
"postal_code": "597111999",
"telephone_number": "406-563-8500",
"fax_number": "406-563-8694"
}
],
"practiceLocations": [
{
"address_1": "835 SE Bishop Blvd",
"address_purpose": "LOCATION",
"city": "Pullman",
"state": "WA",
"postal_code": "991635512",
"country_code": "US",
"telephone_number": "509-332-2541",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NELSON",
"first_name": "BETTY",
"middle_name": "J",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-07",
"last_updated": "2021-02-17",
"certification_date": "2021-02-17",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "WA",
"license": "AP30001970",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "MT",
"license": "101768",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI",
"identifier": "1275515660",
"state": "MT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Anaconda, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.