NPIMap

Individual provider Active NPI

Stephanie Kanning, FNP

  • Family Nurse Practitioner
  • Plentywood, MT
National Provider Identifier
1568035483
Registry record updated Jan 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
NUR-APRN-LIC-175438 Issued in MT
Practice address
440 W Laurel Ave
Plentywood, MT 59254-1596
Phone
(406) 765-3718
Fax
(406) 765-1091
NPI assigned
Jul 19, 2021
Last updated
Jan 18, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2025

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-175438 MT Primary

Addresses

Primary practice location

440 W Laurel Ave
Plentywood, MT 59254-1596

Mailing address

440 W Laurel Ave
Plentywood, MT 59254-1596
Phone (406) 765-3718

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MT
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210914001251 MT Practitioner - Nurse Practitioner 0345646519 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sheridan Memorial Hospital AssociationGroup PAC ID 9133038706, shared by 7 NPIs, 31 clinicians

Practice addresses (Care Compare)

440 W Laurel Ave
Plentywood, MT 59254-1526
Phone (406) 765-3700

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
NUR-APRN-LIC-175438MTMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Rosebud Community Hospital Inc Current Accepting new patients
Sheridan Memorial Hospital Association CurrentSince Jun 19, 2023 Accepting new patients
Sheridan Memorial Hospital Association CurrentSince Oct 9, 2025 Accepting new patients
Sheridan Memorial Hospital Association CurrentSince Jun 19, 2023 Accepting new patients
Frances Mahon Deaconess Hospital Past Accepting new patients

Locations

440 W Laurel Ave
Plentywood, MT 59254
Phone (406) 765-1420

Organizations & group practices 5

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.

Hospital & facility affiliations 10

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": "1626652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737158400000",
    "number": "1568035483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "440 W LAUREL AVE",
            "city": "PLENTYWOOD",
            "state": "MT",
            "postal_code": "592541596",
            "telephone_number": "406-765-3718",
            "fax_number": "406-765-1091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "440 W LAUREL AVE",
            "city": "PLENTYWOOD",
            "state": "MT",
            "postal_code": "592541596",
            "telephone_number": "406-765-3718",
            "fax_number": "406-765-1091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KANNING",
        "first_name": "STEPHANIE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-19",
        "last_updated": "2025-01-18",
        "certification_date": "2025-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MT",
            "license": "NUR-APRN-LIC-175438",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plentywood, MT

Sources for this page

Verify at the official NPI Registry.