Organization Active NPI

Crazy Mountain Family Medicine

  • Primary Care Clinic/Center
  • Big Timber, MT
National Provider Identifier
1497357529
Registry record updated Mar 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
CRAZY MOUNTAIN FAMILY MEDICINE
Practice address
225 Big Timber Loop Rd
Big Timber, MT 59011-7646
Phone
(406) 932-7100
Fax
(406) 932-7102
NPI assigned
Nov 13, 2020
Last updated
Mar 19, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2022

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

Authorized official

Name
Dr. Michelle Lizotte, MDNPI 1124388426
Title
Owner and Provider
Phone
(406) 672-6082

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

225 Big Timber Loop Rd
Big Timber, MT 59011-7646

Mailing address

PO Box 978
Big Timber, MT 59011-0978
Phone (406) 932-7100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210118000686 MT Part B Supplier - Clinic/Group Practice 2264845965 Receives reassigned benefits from 2 practitioners
Practice locations: Big Timber, MT

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
27D2202543Crazy Mountain Family Medicine225 Big Timber Loop Rd, Big Timber, MT 59011Provider-performed microscopyNov 29, 2026

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1605225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1647648000000",
    "number": "1497357529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 978",
            "city": "BIG TIMBER",
            "state": "MT",
            "postal_code": "590110978",
            "telephone_number": "406-932-7100",
            "fax_number": "406-932-7102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 BIG TIMBER LOOP RD",
            "city": "BIG TIMBER",
            "state": "MT",
            "postal_code": "590117646",
            "telephone_number": "406-932-7100",
            "fax_number": "406-932-7102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRAZY MOUNTAIN FAMILY MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-13",
        "last_updated": "2022-03-19",
        "certification_date": "2022-03-19",
        "status": "A",
        "authorized_official_last_name": "LIZOTTE",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "OWNER AND PROVIDER",
        "authorized_official_telephone_number": "406-672-6082",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Big Timber, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2022; 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.

Verify at the official NPI Registry.