Individual provider Active NPI

Belinda Wise, NP-C

  • Family Nurse Practitioner
  • Libby, MT
National Provider Identifier
1558735688
Registry record updated Aug 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
NUR-APRN-LIC-101620 Issued in MT
Practice address
211 E 2ND St
Libby, MT 59923-2047
Phone
(406) 293-8711
Fax
(406) 293-8735
NPI assigned
Dec 1, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2020

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 NUR-APRN-LIC-101620 MT Primary

Addresses

Primary practice location

211 E 2ND St
Libby, MT 59923-2047

Mailing address

211 E 2ND St
Libby, MT 59923-2047
Phone (406) 293-8711

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
I20160114001965 MT Practitioner - Nurse Practitioner 8224331855 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Libby ClinicGroup PAC ID 5496725038, 6 clinicians

Practice addresses (Care Compare)

211 E 2ND St
Libby, MT 59923-2047
Phone (406) 293-8711

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
NUR-APRN-LIC-101620MTMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Libby Clinic CurrentSince Jan 4, 2016 Accepting new patients

Locations

211 E 2nd St
Libby, MT 59923
Phone (406) 293-8711

Organizations & group practices 1

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1448928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597708800000",
    "number": "1558735688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 E 2ND ST",
            "city": "LIBBY",
            "state": "MT",
            "postal_code": "599232047",
            "telephone_number": "406-293-8711",
            "fax_number": "406-293-8735"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 E 2ND ST",
            "city": "LIBBY",
            "state": "MT",
            "postal_code": "599232047",
            "telephone_number": "406-293-8711",
            "fax_number": "406-293-8735"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WISE",
        "first_name": "BELINDA",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-12-01",
        "last_updated": "2020-08-18",
        "certification_date": "2020-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MT",
            "license": "NUR-APRN-LIC-101620",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Libby, MT

Sources for this page

Verify at the official NPI Registry.