Individual provider Active NPI

Jamie Van Horssen, FNPC

  • Family Nurse Practitioner
  • Helena, MT
National Provider Identifier
1578573580
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
017232 Issued in MT
Practice address
2619 Colonial Dr
Suite a
Helena, MT 59601-4948
Phone
(406) 442-1231
Fax
(406) 442-8201
NPI assigned
Aug 9, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 017232 MT Primary

Addresses

Primary practice location

2619 Colonial Dr
Suite a
Helena, MT 59601-4948

Mailing address

2619 Colonial Dr
Suite a
Helena, MT 59601-4948
Phone (406) 442-1231

Other identifiers 1

IdentifierTypeStateIssuer
430134MedicaidMT

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
I20050128000908 MT Practitioner - Nurse Practitioner 1850372939 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
017232MTMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mountain View Family Health Care, PC CurrentSince May 28, 1997 Accepting new patients
Mountain View Family Health Care, PC PastSince Jul 1, 1997 Accepting new patients

Locations

2619 Colonial Dr
Ste A
Helena, MT 59601
Phone (406) 442-1231

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/12481/brand/1/csg/1/fhir/r4
  • Direct secure messaging: jamie.van.horssen.1@22122.direct.athenahealth.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1155081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1578573580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2619 COLONIAL DR",
            "address_2": "SUITE A",
            "city": "HELENA",
            "state": "MT",
            "postal_code": "596014948",
            "telephone_number": "406-442-1231",
            "fax_number": "406-442-8201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2619 COLONIAL DR",
            "address_2": "SUITE A",
            "city": "HELENA",
            "state": "MT",
            "postal_code": "596014948",
            "telephone_number": "406-442-1231",
            "fax_number": "406-442-8201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAN HORSSEN",
        "first_name": "JAMIE",
        "credential": "FNPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MT",
            "license": "017232",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "430134",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Helena, MT

Sources for this page

Verify at the official NPI Registry.