Individual provider Active NPI

Kathryn Rogotzke Foote, FNP

  • Family Nurse Practitioner
  • Missoula, MT
National Provider Identifier
1568886844
Registry record updated May 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
38612 Issued in MT
Practice address
1211 S Reserve St Ste 101
Missoula, MT 59801-3103
Phone
(406) 327-3057
Fax
(406) 327-3231
NPI assigned
Feb 7, 2014
Last updated
May 18, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 18, 2021

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 38612 MT Primary

Addresses

Primary practice location

1211 S Reserve St Ste 101
Missoula, MT 59801-3103

Mailing address

1211 S Reserve St Ste 101
Missoula, MT 59801-3103
Phone (406) 327-3057

Other practice location 1

900 N Orange St Ste 106
Missoula, MT 59802-2951
Phone (406) 327-3100

Other names 1

  • Kathryn Anne Rogotzke Former name

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address krogotzke204951@wm.providencedirect.org Direct
Direct Messaging Address krogotzke204951@wm.providencedirect.org Direct

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
I20140513001581 MT Practitioner - Nurse Practitioner 6901029297 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Providence Health and Services MtGroup PAC ID 6608786306, 358 clinicians

Practice addresses (Care Compare)

902 N Orange St 4TH FL
Missoula, MT 59802-2998
Phone (406) 327-3260

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
38612MTMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Providence Health & Services Mt Current Accepting new patients
Providence Health & Services Mt CurrentSince Mar 1, 2014 Accepting new patients
Providence Health & Services Mt CurrentSince Mar 1, 2014 Accepting new patients
Providence Health & Services Mt Past Accepting new patients

Locations

1211 S Reserve St
Ste 101
Missoula, MT 59801
Phone (406) 327-3057

500 W Broadway St
Missoula, MT 59802
Phone (406) 327-1918

500 W Broadway St
Ste 320
Missoula, MT 59802

900 N Orange St
Ste 106
Missoula, MT 59802
Phone (406) 327-3100

902 N Orange St
Fl 4
Missoula, MT 59802
Phone (406) 327-3015

Interoperability endpoints

  • Direct secure messaging: krogotzke204951@wm.providencedirect.org

Organizations & group practices 4

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 5

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": "1391731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621296000000",
    "number": "1568886844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1211 S RESERVE ST STE 101",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598013103",
            "telephone_number": "406-327-3057",
            "fax_number": "406-327-3231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1211 S RESERVE ST STE 101",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598013103",
            "telephone_number": "406-327-3057",
            "fax_number": "406-327-3231"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "900 N Orange St Ste 106",
            "address_purpose": "LOCATION",
            "city": "Missoula",
            "state": "MT",
            "postal_code": "598022951",
            "country_code": "US",
            "telephone_number": "406-327-3100",
            "fax_number": "406-327-3141",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FOOTE",
        "first_name": "KATHRYN",
        "middle_name": "ROGOTZKE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-02-07",
        "last_updated": "2021-05-18",
        "certification_date": "2021-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MT",
            "license": "38612",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "krogotzke204951@wm.providencedirect.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1211 S Reserve St Ste 101",
            "city": "Missoula",
            "state": "MT",
            "country_code": "US",
            "postal_code": "598013103",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "krogotzke204951@wm.providencedirect.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "900 N Orange St Ste 106",
            "city": "Missoula",
            "state": "MT",
            "country_code": "US",
            "postal_code": "598022951",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "KATHRYN",
            "last_name": "ROGOTZKE",
            "middle_name": "ANNE",
            "credential": "APRN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Missoula, MT

Sources for this page

Verify at the official NPI Registry.