Active NPI
Matthew J Anderson, FNP
- Family Nurse Practitioner
- Missoula, MT
National Provider Identifier
1497095210
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 45557
- Practice address
- 2831 Fort Missoula Rd Ste 203
Missoula, MT 59804-7479 - Phone
- (406) 203-6261
- Fax
- (406) 327-6702
- NPI assigned
- Feb 15, 2013
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 45557 | MT | Primary |
Addresses
Primary practice location
2831 Fort Missoula Rd Ste 203
Missoula, MT 59804-7479
Mailing address
PO Box 9352
Missoula, MT 59807-9352
Phone (406) 203-4776
Other practice location 1
341 W Pine St
Missoula, MT 59802-4119
Phone (406) 327-0269
Other practice location 2
3031 S Russell St
Missoula, MT 59801-8523
Phone (406) 203-4776
Organizations & group practices 7
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.
-
- Rural Health Clinic/Center
- Polson, MT
- NPI 1609104165
-
- Family Medicine Physician
- Polson, MT
- NPI 1669655528
-
- Rural Health Clinic/Center
- Ronan, MT
- NPI 1730417452
-
- Critical Access Hospital
- Polson, MT
- NPI 1821184888
-
- Critical Access Hospital
- Polson, MT
- NPI 1992853881
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Anatomic Pathology & Clinical Pathology Physician
- Missoula, MT
- NPI 1366185928
Hospital
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Osteophysiology LLCProvidence St Joseph Medical Center
Practice addresses (Care Compare)
2831 Fort Missoula Rd
Suite 203
Missoula, MT 59804-7479
Phone (406) 493-0712
6 13TH Ave E
Polson, MT 59860-5315
Phone (406) 883-5377
Hospital & facility affiliations
- Community Medical Center
- St. Patrick Hospital
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170914001422 | MT | Practitioner - Nurse Practitioner | 9931473949 | Reassigns benefits to 2 organizations |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 45557 | MT | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Osteophysiology LLC | Current | Accepting new patients |
Locations
3031 S Russell St
Missoula, MT 59801
Phone (406) 549-0119
2831 Fort Missoula Rd
Ste 203
Missoula, MT 59804
Phone (406) 203-6261
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1360886400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1742860800000",
"number": "1497095210",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 9352",
"city": "MISSOULA",
"state": "MT",
"postal_code": "598079352",
"telephone_number": "406-203-4776",
"fax_number": "406-327-6702"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2831 FORT MISSOULA RD STE 203",
"city": "MISSOULA",
"state": "MT",
"postal_code": "598047479",
"telephone_number": "406-203-6261",
"fax_number": "406-327-6702"
}
],
"practiceLocations": [
{
"address_1": "341 W Pine St",
"address_purpose": "LOCATION",
"city": "Missoula",
"state": "MT",
"postal_code": "598024119",
"country_code": "US",
"telephone_number": "406-327-0269",
"fax_number": "406-327-0264",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3031 S Russell St",
"address_purpose": "LOCATION",
"city": "Missoula",
"state": "MT",
"postal_code": "598018523",
"country_code": "US",
"telephone_number": "406-203-4776",
"fax_number": "406-327-6702",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ANDERSON",
"first_name": "MATTHEW",
"middle_name": "J",
"name_prefix": "Mr.",
"credential": "FNP",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-02-15",
"last_updated": "2025-03-25",
"certification_date": "2025-03-25",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MT",
"license": "45557",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Missoula, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.