Individual provider Active NPI

Stacy H. Shomento, MD

  • Reproductive Endocrinology Physician
  • Bozeman, MT
National Provider Identifier
1497838379
Registry record updated Sep 22, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Reproductive Endocrinology PhysicianTaxonomy code 207VE0102X
License
8708 Issued in MT
Practice address
925 Highland Blvd
Ste 1210
Bozeman, MT 59715-6900
Phone
(406) 587-9202
NPI assigned
Oct 23, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Reproductive Endocrinology Physician 207VE0102X 8708 MT Primary
Obstetrics & Gynecology Physician 207V00000X 8708 MT

Addresses

Primary practice location

925 Highland Blvd
Ste 1210
Bozeman, MT 59715-6900

Mailing address

PO Box 35100
Billings, MT 59107-5100
Phone (406) 238-2500

Other identifiers 2

IdentifierTypeStateIssuer
0095336OtherMTMDCD PIN
000099435OtherMTBCBS PIN

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050425000596 MT Practitioner - Obstetrics/Gynecology 9739127291 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of Rochester School of Medicine and Dentistry, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Billings ClinicGroup PAC ID 6002993516, 814 clinicians

Practice addresses (Care Compare)

1045 N 30TH St
Billings, MT 59101-0733
Phone (406) 255-8472

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
8708MTMDReproductive Endocrinology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Billings Clinic CurrentSince Jul 1, 2011 Accepting new patients
Billings Clinic Current Accepting new patients
Billings Clinic Obstetrics & Gynecology CurrentSince Jul 1, 2011 Accepting new patients
Billings Clinic -Fertility Specialists Obstetrics & Gynecology Past Accepting new patients
Frances Mahon Deaconess Hospital Past Accepting new patients
Billings Clinic Past Accepting new patients

Locations

2800 10th Ave N
Billings, MT 59101
Phone (406) 248-3290

1045 N 30th St
Billings, MT 59101
Phone (406) 238-2501

925 Highland Blvd
Ste 1210
Bozeman, MT 59715
Phone (406) 587-9202

3905 Wellness Way
Bozeman, MT 59718
Phone (406) 587-9202

1202 3rd St W
Roundup, MT 59072
Phone (406) 323-2301

Interoperability endpoints

  • Direct secure messaging: sshomento@billingsclinic.cernerdirect.com

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1161561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1316649600000",
    "number": "1497838379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 35100",
            "city": "BILLINGS",
            "state": "MT",
            "postal_code": "591075100",
            "telephone_number": "406-238-2500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "925 HIGHLAND BLVD",
            "address_2": "STE 1210",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597156900",
            "telephone_number": "406-587-9202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHOMENTO",
        "first_name": "STACY",
        "middle_name": "H.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-23",
        "last_updated": "2011-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VE0102X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Reproductive Endocrinology",
            "state": "MT",
            "license": "8708",
            "primary": true
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MT",
            "license": "8708",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MDCD PIN",
            "identifier": "0095336",
            "state": "MT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PIN",
            "identifier": "000099435",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bozeman, MT

Sources for this page

Verify at the official NPI Registry.