Jeannie Marlene Fahlquist, NP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

NUR-APRN-LIC-100460 Issued in MT

Practice address

39 Neill Ave
Helena, MT 59601-3330

Phone

(406) 443-5354

Fax

(406) 443-5727

NPI assigned

Jul 9, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NV

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

Specialty

Nurse Practitioner

Education

Other, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Gastroenterology Consultants LTDGroup PAC ID 0941107478, 39 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Renown Regional Medical Center Hospital, Reno, NV, CCN 290001
• Renown South Meadows Medical Center Hospital, Reno, NV, CCN 290049
• Northern Nevada Medical Center Hospital, Sparks, NV, CCN 290032
• Banner Lassen Medical Center Hospital, Susanville, CA, CCN 051320
• Humboldt General Hospital Hospital, Winnemucca, NV, CCN 291308

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Gastroenterology Consultants, LTD

  • Specialist
  • Reno, NV
  • NPI 1144218512
  Medicare reassignment Care Compare group NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Banner Lassen Medical Center

  • Critical Access Hospital
  • Susanville, CA
  • NPI 1538197231
  Care Compare affiliation
• Humboldt General Hospital

  • Critical Access Hospital
  • Winnemucca, NV
  • NPI 1750498010
  Care Compare affiliation
• Renown Regional Medical Center

  • General Acute Care Hospital
  • Reno, NV
  • NPI 1124098421
  Care Compare affiliation
• Renown Regional Medical Center

  • General Acute Care Hospital
  • Sparks, NV
  • NPI 1932517299
  Care Compare affiliation
• Renown South Meadows Medical Center

  • General Acute Care Hospital
  • Reno, NV
  • NPI 1720058027
  Care Compare affiliation
• Sparks Family Hospital Inc

  • Emergency Care Clinic/Center
  • Reno, NV
  • NPI 1346934569

  Hospital

  Care Compare affiliation
• Sparks Family Hospital Inc

  • Emergency Care Clinic/Center
  • Reno, NV
  • NPI 1366232993

  Hospital

  Care Compare affiliation
• Sparks Family Hospital Inc

  • General Acute Care Hospital
  • Sparks, NV
  • NPI 1548250582
  Care Compare affiliation
• Sparks Family Hospital Inc

  • General Acute Care Hospital
  • Reno, NV
  • NPI 1609451327
  Care Compare affiliation
• Sparks Family Hospital Inc

  • Emergency Care Clinic/Center
  • Reno, NV
  • NPI 1689229353

  Hospital

  Care Compare affiliation
• Sparks Family Hospital Inc

  • Emergency Care Clinic/Center
  • Sparks, NV
  • NPI 1952049132

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1215561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1449014400000",
    "number": "1508029505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39 NEILL AVE",
            "city": "HELENA",
            "state": "MT",
            "postal_code": "596013330",
            "telephone_number": "406-443-5354",
            "fax_number": "406-443-5727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39 NEILL AVE",
            "city": "HELENA",
            "state": "MT",
            "postal_code": "596013330",
            "telephone_number": "406-443-5354",
            "fax_number": "406-443-5727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAHLQUIST",
        "first_name": "JEANNIE",
        "middle_name": "MARLENE",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-09",
        "last_updated": "2015-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MT",
            "license": "NUR-APRN-LIC-100460",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William Spencer Evans, MSW LCSW BCD
• Extraordinary Distances
• Melissa Faber
• Anthony Scott Fabian, PHARMD
• John Fabra
• Leigh Fahlquist
• Tiffany Fairchild
• Family Foot Clinic, Inc
• Shea Adair Fanning, PHARMD
• Kristy Farago

• Family Nurse Practitioner in Helena, MT
• Providers in Helena, MT by specialty
• Family Nurse Practitioner in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2015; 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.

Verify at the official NPI Registry.