Active NPI
Matthew Pett
- Certified Registered Nurse Anesthetist
- Havre, MT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- NUR-APRN-LIC-132698
- Practice address
- Northern Montana Hospital
30 13TH St
Havre, MT 59501 - Phone
- (406) 262-1305
- NPI assigned
- Jul 3, 2018
- Last updated
- Aug 23, 2023
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | NUR-APRN-LIC-132698 | MT | Primary |
Addresses
Primary practice location
Northern Montana Hospital
30 13TH St
Havre, MT 59501
Mailing address
30 13TH St
Havre, MT 59501-5222
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MT
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2440 Winne Ave
Suite 100
Helena, MT 59601-4913
Phone (406) 457-4200
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| NUR-APRN-LIC-132698 | MT | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ascend Anesthesia Associates Mt LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Northern Montana Hospital | Registered Nurse | Current | Accepting new patients |
| Northern Montana Hospital | Current | Accepting new patients | |
| Northern Montana Hospital | Registered Nurse | Current | Accepting new patients |
| Vigilant Anesthesia Services LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
Locations
400 10th St E
Waconia, MN 55387
30 13th St
Havre, MT 59501
Phone (406) 262-1302
2440 Winne Ave
Ste 100
Helena, MT 59601
Phone (406) 452-4200
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.
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Nurse Anesthetist, Certified Registered
-
dba Northern Montana Hospital Swing Beds
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-
dba Northern Montana Hospital Emergency Medicine
- Clinic/Center
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- NPI 1669447967
Registered Nurse
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- Certified Registered Nurse Anesthetist
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- NPI 1336819697
Nurse Anesthetist, Certified Registered
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1530576000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1692748800000",
"number": "1487140398",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "30 13TH ST",
"city": "HAVRE",
"state": "MT",
"postal_code": "595015222"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "NORTHERN MONTANA HOSPITAL",
"address_2": "30 13TH ST",
"city": "HAVRE",
"state": "MT",
"postal_code": "59501",
"telephone_number": "406-262-1305"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PETT",
"first_name": "MATTHEW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-07-03",
"last_updated": "2023-08-23",
"certification_date": "2023-08-23",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "MT",
"license": "NUR-APRN-LIC-132698",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Havre, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.