Individual provider Active NPI

Nancy Jo Rowell, FNP

  • Family Nurse Practitioner
  • Great Falls, MT
National Provider Identifier
1497879381
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN19935 Issued in MT
Practice address
1220 Central Ave
Great Falls, MT 59401-3764
Phone
(406) 268-1510
Fax
(406) 268-1914
NPI assigned
Mar 18, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN19935 MT Primary

Addresses

Primary practice location

1220 Central Ave
Great Falls, MT 59401-3764

Mailing address

2200 4TH Ave S
Great Falls, MT 59405-2856
Phone (406) 454-2381

Other identifiers 1

IdentifierTypeStateIssuer
4304876MedicaidMT

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050408000965 MT Practitioner - Nurse Practitioner 9830136019

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN19935MTMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Family Practice LLC CurrentSince Oct 1, 2012 Accepting new patients
Indian Family Health Clinic of Great Falls Inc Past Accepting new patients
Central Montana Laboratory, LLC Past Accepting new patients

Locations

1 4th Ave SE
Conrad, MT 59425
Phone (406) 434-3110

2705 16th Ave S
Great Falls, MT 59405
Phone (406) 204-7299

3511 1st Ave N
Ste 1
Great Falls, MT 59401
Phone (406) 727-5778

Organizations & group practices 3

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": "1174176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1497879381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 4TH AVE S",
            "city": "GREAT FALLS",
            "state": "MT",
            "postal_code": "594052856",
            "telephone_number": "406-454-2381"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1220 CENTRAL AVE",
            "city": "GREAT FALLS",
            "state": "MT",
            "postal_code": "594013764",
            "telephone_number": "406-268-1510",
            "fax_number": "406-268-1914"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROWELL",
        "first_name": "NANCY",
        "middle_name": "JO",
        "name_prefix": "Ms.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-18",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MT",
            "license": "RN19935",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4304876",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Great Falls, MT

Sources for this page

Verify at the official NPI Registry.