Jacob Whetzel

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

70836 Issued in MT

Practice address

1208 6TH Ave
Superior, MT 59872-9667

Phone

(406) 822-4801

NPI assigned

Mar 30, 2015

Sex

Male

Sole proprietor

Yes

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 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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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.

• Missoula Community Health Services, Inc

  dba Tamarack Medical Clinic

  • General Practice Physician
  • Superior, MT
  • NPI 1710165105
  Medicare reassignment NPD
• Missoula Community Health Services, Inc

  dba Mineral Community Hospital

  • Medicare Defined Swing Bed Hospital Unit
  • Superior, MT
  • NPI 1720136088
  Medicare reassignment NPD
• Missoula Community Health Services, Inc.

  • Family Medicine Physician
  • Saint Regis, MT
  • NPI 1225836554
  Medicare reassignment NPD
• Missoula Community Health Services, Inc.

  dba Mineral Community Hospital

  • Critical Access Hospital
  • Superior, MT
  • NPI 1902990005
  Medicare reassignment NPD
• Missoula Community Health Services, Inc

  dba Mineral Community Hospital Clinic

  • Multi-Specialty Clinic/Center
  • Superior, MT
  • NPI 1073080461
  NPD

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

{
    "created_epoch": "1427673600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757030400000",
    "number": "1548655368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1208 6TH AVE",
            "city": "SUPERIOR",
            "state": "MT",
            "postal_code": "598729667",
            "telephone_number": "406-822-4801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1208 6TH AVE",
            "city": "SUPERIOR",
            "state": "MT",
            "postal_code": "598729667",
            "telephone_number": "406-822-4801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHETZEL",
        "first_name": "JACOB",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-03-30",
        "last_updated": "2025-09-05",
        "certification_date": "2025-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MT",
            "license": "70836",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Superior High School
• Superior Volunteer Fire Company Inc (Superior Area Ambulance Service)
• Terry a. Smith M.C.P.C. (ponderosa medical clinic)
• Threshold Movement Therapy & Coaching, PLLC
• Alexis Vantiem, PA-C
• Gary Tibbett Woodson, R.PH.

• Family Medicine Physician in Superior, MT
• Providers in Superior, MT by specialty
• Family Medicine Physician in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2025; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.