Individual provider Active NPI

Katherine I Herczeg, APRN

  • Primary Care Nurse Practitioner
  • Bozeman, MT
National Provider Identifier
1467608141
Registry record updated Jul 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
103381 Issued in MT
Practice address
2950 S 21St Ave Apt 106
Bozeman, MT 59718-5042
Phone
(706) 957-2633
NPI assigned
Aug 13, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 25, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X 103381 MT Primary

Addresses

Primary practice location

2950 S 21St Ave Apt 106
Bozeman, MT 59718-5042

Mailing address

2950 S 21St Ave Apt 106
Bozeman, MT 59718-5042
Phone (706) 957-2633

Other names 1

  • Katherine I Herczeg Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, MT2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20081210000585 GA Practitioner - Nurse Practitioner 8820159791
I20160824001524 MT Practitioner - Nurse Practitioner 8820159791 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
103381MTMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Marcus Daly Memorial Hospital Corporation CurrentSince Aug 1, 2016 Accepting new patients
Marcus Daly Memorial Hospital Corporation Current Accepting new patients
Marcus Daly Memorial Hospital Corporation Current Accepting new patients
Marcus Daly Memorial Hospital Corporation CurrentSince Aug 1, 2016 Accepting new patients
Serenity Health PLLC CurrentSince Sep 1, 2022 Accepting new patients

Locations

301 N 1st St
Unit 3
Hamilton, MT 59840
Phone (406) 414-7978

1200 Westwood Dr
Hamilton, MT 59840
Phone (406) 363-2211

1224 W Main St
Hamilton, MT 59840
Phone (406) 375-4823

3975 US Highway 93 N
Stevensville, MT 59870
Phone (406) 375-4824

Organizations & group practices 5

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": "1218585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753401600000",
    "number": "1467608141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2950 S 21ST AVE APT 106",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597185042",
            "telephone_number": "706-957-2633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2950 S 21ST AVE APT 106",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597185042",
            "telephone_number": "706-957-2633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERCZEG",
        "first_name": "KATHERINE",
        "middle_name": "I",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-08-13",
        "last_updated": "2025-07-25",
        "certification_date": "2025-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "MT",
            "license": "103381",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHERINE",
            "last_name": "HERCZEG",
            "middle_name": "I",
            "credential": "APRN",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Bozeman, MT

Sources for this page

Verify at the official NPI Registry.