Jeanette Lucia Capps, RN
Individual provider Active NPI Registered Nurse · Polson, MT
NPI 1487532974 · NPPES record last updated Aug 25, 2025
Key facts
- NPI
- 1487532974
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- NUR-RN-LIC-238495 (MT)
- Practice address
- 1203 1St St E
Polson, MT 59860-5327 - Phone
- (720) 545-4534
- NPI assigned
- Aug 25, 2025
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| NUR-RN-LIC-238495 | MT | MD | Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | NUR-RN-LIC-238495 | MT | Yes |
Addresses
Primary practice location
1203 1St St E
Polson, MT 59860-5327
Mailing address
1203 1St St E
Polson, MT 59860-5327
Phone (720) 545-4534
Other providers in Polson, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 25, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.