NPIMap

Individual provider Active NPI

Abby Lynn Reum, FNP-C

  • Family Nurse Practitioner
  • Wolf Point, MT
National Provider Identifier
1609104595
Registry record updated Jul 1, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
29311 Issued in MT
Practice address
315 Knapp St
Wolf Point, MT 59201-1826
Phone
(406) 768-5171
NPI assigned
Dec 3, 2009
Last updated
Jul 1, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2010

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 29311 MT Primary

Addresses

Primary practice location

315 Knapp St
Wolf Point, MT 59201-1826

Mailing address

Box 629
211 H Street East
Poplar, MT 59255-0629
Phone (406) 768-5171

Other identifiers 2

IdentifierTypeStateIssuer
1609104595OtherMEDICARE
1609104595MedicaidMT

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
I20100505000451 MT Practitioner - Nurse Practitioner 7214065697 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Riverside Family ClinicGroup PAC ID 7810989506, 14 clinicians

Practice addresses (Care Compare)

209 /2 H St
Poplar, MT 59255-9519
Phone (406) 768-5171

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
29311MTMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Riverside Family Clinic CurrentSince Jan 3, 2010 Accepting new patients
Northeast Montana Health Services, Inc. Past Accepting new patients
Frances Mahon Deaconess Hospital Past Accepting new patients

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 11

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": "1259798400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1277942400000",
    "number": "1609104595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "BOX 629",
            "address_2": "211 H STREET EAST",
            "city": "POPLAR",
            "state": "MT",
            "postal_code": "592550629",
            "telephone_number": "406-768-5171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 KNAPP ST",
            "city": "WOLF POINT",
            "state": "MT",
            "postal_code": "592011826",
            "telephone_number": "406-768-5171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REUM",
        "first_name": "ABBY",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-12-03",
        "last_updated": "2010-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MT",
            "license": "29311",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "1609104595",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1609104595",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wolf Point, MT

Sources for this page

Verify at the official NPI Registry.