Individual provider Active NPI

Rose Ann Picchi

  • Geriatric Medicine (Family Medicine) Physician
  • Great Falls, MT
National Provider Identifier
1568043362
Registry record updated Apr 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Family Medicine) PhysicianTaxonomy code 207QG0300X
License
174677 Issued in MT
Practice address
1220 Central Ave
Great Falls, MT 59401-3764
Phone
(406) 268-1510
Fax
(406) 268-1914
NPI assigned
Apr 14, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Family Medicine) Physician 207QG0300X 174677 MT Primary

Addresses

Primary practice location

1220 Central Ave
Great Falls, MT 59401-3764

Mailing address

1220 Central Ave
Great Falls, MT 59401-3764
Phone (406) 268-1510

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20230824001585 TX Practitioner - Nurse Practitioner 9638532690 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Indian Family Health Clinic of Great Falls IncGroup PAC ID 4082522719, 7 clinicians

Practice addresses (Care Compare)

1220 Central Ave
Suite 28
Great Falls, MT 59401-3764
Phone (406) 268-1510

Hospital & facility affiliations

National Provider Directory

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

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 3

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": "1618358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680739200000",
    "number": "1568043362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1220 CENTRAL AVE",
            "city": "GREAT FALLS",
            "state": "MT",
            "postal_code": "594013764",
            "telephone_number": "406-268-1510",
            "fax_number": "406-268-1914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1220 CENTRAL AVE",
            "city": "GREAT FALLS",
            "state": "MT",
            "postal_code": "594013764",
            "telephone_number": "406-268-1510",
            "fax_number": "406-268-1914"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PICCHI",
        "first_name": "ROSE",
        "middle_name": "ANN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-14",
        "last_updated": "2023-04-06",
        "certification_date": "2023-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QG0300X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "MT",
            "license": "174677",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Great Falls, MT

Sources for this page

Verify at the official NPI Registry.