Individual provider Active NPI

Michelle Lynn Metcalf, MD

  • Family Medicine Physician
  • Stevensville, MT
National Provider Identifier
1578023461
Registry record updated Nov 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MED-PHYS-LIC-113961 Issued in MT
Practice address
3975 US Hwy 93 N
Stevensville, MT 59870-6474
Phone
(406) 777-6002
Fax
(406) 206-2965
NPI assigned
Mar 25, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MED-PHYS-LIC-113961 MT Primary

Addresses

Primary practice location

3975 US Hwy 93 N
Stevensville, MT 59870-6474

Mailing address

1200 Westwood Dr
Hamilton, MT 59840-2345

Other identifiers 2

IdentifierTypeStateIssuer
1578023461MedicaidID
200014745MedicaidMT

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230215000818 MT Practitioner - Internal Medicine 5597185165 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Indiana University School of Medicine, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Marcus Daly Memorial Hospital CorporationGroup PAC ID 5597664474, 97 clinicians

Practice addresses (Care Compare)

3975 US Hwy 93 N
Stevensville, MT 59870-6474
Phone (406) 777-6002

Hospital & facility affiliations

  • Partners in Home Care Inc Home health agency, Missoula, MT, CCN 277032
  • Bitterroot Health - Daly Hospital Hospital, Hamilton, MT, CCN 271340
  • Community Medical Center Hospital, Missoula, MT, CCN 270023
  • St. Patrick Hospital Hospital, Missoula, MT, CCN 270014

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MED-PHYS-LIC-113961MTMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Marcus Daly Memorial Hospital Corporation CurrentSince Oct 26, 2022 Accepting new patients
Marcus Daly Memorial Hospital Corporation Current Accepting new patients
Marcus Daly Memorial Hospital Corporation Family Medicine CurrentSince Oct 26, 2022 Accepting new patients
Marcus Daly Memorial Hospital Corporation Current Accepting new patients

Locations

1224 W Main St
Hamilton, MT 59840
Phone (406) 375-4823

1200 Westwood Dr
Hamilton, MT 59840
Phone (406) 363-2211

1200 Westwood Dr
Ste I
Hamilton, MT 59840
Phone (406) 363-1100

3975 US Highway 93 N
Stevensville, MT 59870
Phone (406) 375-4824

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 and National Provider Directory roles.

Hospital & facility affiliations 7

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": "1553472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731369600000",
    "number": "1578023461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 WESTWOOD DR",
            "city": "HAMILTON",
            "state": "MT",
            "postal_code": "598402345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3975 US HWY 93 N",
            "city": "STEVENSVILLE",
            "state": "MT",
            "postal_code": "598706474",
            "telephone_number": "406-777-6002",
            "fax_number": "406-206-2965"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "METCALF",
        "first_name": "MICHELLE",
        "middle_name": "LYNN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-25",
        "last_updated": "2024-11-12",
        "certification_date": "2024-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MT",
            "license": "MED-PHYS-LIC-113961",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1578023461",
            "state": "ID"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200014745",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Stevensville, MT

Sources for this page

Verify at the official NPI Registry.