Individual provider Active NPI

Brianna Rose Vesco, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Butte, MT
National Provider Identifier
1538906508
Registry record updated Jul 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
NUR-APRN-LIC-240135 Issued in MT
Practice address
711 W Silver St
Butte, MT 59701-1518
Phone
(406) 444-1069
NPI assigned
Jul 9, 2024
Last updated
Jul 9, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X NUR-APRN-LIC-240135 MT Primary
Registered Nurse 163W00000X NUR-RN-LIC-157804 MT

Addresses

Primary practice location

711 W Silver St
Butte, MT 59701-1518

Mailing address

711 W Silver St
Butte, MT 59701-1518
Phone (406) 444-1069

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
I20241210002633 MT Practitioner - Nurse Practitioner 7719413095 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
NUR-RN-LIC-157804MTMDRegistered Nurse
NUR-APRN-LIC-240135MTMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Montana Children's Home & Hospital CurrentSince Nov 1, 2024 Accepting new patients
Willow Nurse Wellness, LLC Current Accepting new patients
Montana Children's Home & Hospital CurrentSince Nov 1, 2024 Accepting new patients

Locations

435 S Crystal St
Fl Second
Butte, MT 59701

711 W Silver St
Butte, MT 59701
Phone (406) 444-1002

2755 Colonial Dr
Helena, MT 59601
Phone (406) 444-7500

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1720483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720483200000",
    "number": "1538906508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "711 W SILVER ST",
            "city": "BUTTE",
            "state": "MT",
            "postal_code": "597011518",
            "telephone_number": "406-444-1069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "711 W SILVER ST",
            "city": "BUTTE",
            "state": "MT",
            "postal_code": "597011518",
            "telephone_number": "406-444-1069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VESCO",
        "first_name": "BRIANNA",
        "middle_name": "ROSE",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-09",
        "last_updated": "2024-07-09",
        "certification_date": "2024-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MT",
            "license": "NUR-APRN-LIC-240135",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MT",
            "license": "NUR-RN-LIC-157804",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Butte, MT

Sources for this page

Verify at the official NPI Registry.