Individual provider Active NPI

Keyna I Schlup, M.D.

  • Family Medicine Physician
  • Whitefish, MT
National Provider Identifier
1609172782
Registry record updated Jan 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
DR0052853 Issued in CO
Practice address
5938 US Highway 93 S
Whitefish, MT 59937-8415
Phone
(406) 863-9300
Fax
(406) 863-9301
NPI assigned
Feb 7, 2011
Last updated
Jan 16, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2025

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 DR0052853 CO Primary

Addresses

Primary practice location

5938 US Highway 93 S
Whitefish, MT 59937-8415

Mailing address

5938 US Highway 93 S
Whitefish, MT 59937-8415
Phone (406) 863-9300

Other practice location 1

PO Box 1735
Columbia Falls, MT 59912-1735
Phone (406) 212-4523

Other practice location 2

645 Osage St Ste 1
Sidney, NE 69162-1711
Phone (308) 203-4065

Other practice location 3

302 N 9th Ave
Sterling, CO 80751-2812
Phone (970) 526-7901

Other identifiers 2

IdentifierTypeStateIssuer
200020982MedicaidMT
66684331MedicaidCO

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
I20240507003469 MT Practitioner - Family Practice 5395989917

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
DR0052853COMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hospice of the Plains, Inc. Family Medicine PastSince May 16, 2022 Accepting new patients
East Morgan County Hospital Past Accepting new patients
Red Oak Rehabilitation and Care Community, LLC 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.

NPI Registry JSON

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

{
    "created_epoch": "1297036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736985600000",
    "number": "1609172782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5938 US HIGHWAY 93 S",
            "city": "WHITEFISH",
            "state": "MT",
            "postal_code": "599378415",
            "telephone_number": "406-863-9300",
            "fax_number": "406-863-9301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5938 US HIGHWAY 93 S",
            "city": "WHITEFISH",
            "state": "MT",
            "postal_code": "599378415",
            "telephone_number": "406-863-9300",
            "fax_number": "406-863-9301"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "PO Box 1735",
            "address_purpose": "LOCATION",
            "city": "Columbia Falls",
            "state": "MT",
            "postal_code": "599121735",
            "country_code": "US",
            "telephone_number": "406-212-4523",
            "fax_number": "402-337-8898",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "645 Osage St Ste 1",
            "address_purpose": "LOCATION",
            "city": "Sidney",
            "state": "NE",
            "postal_code": "691621711",
            "country_code": "US",
            "telephone_number": "308-203-4065",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "302 N 9th Ave",
            "address_purpose": "LOCATION",
            "city": "Sterling",
            "state": "CO",
            "postal_code": "807512812",
            "country_code": "US",
            "telephone_number": "970-526-7901",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCHLUP",
        "first_name": "KEYNA",
        "middle_name": "I",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-02-07",
        "last_updated": "2025-01-16",
        "certification_date": "2025-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "DR0052853",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200020982",
            "state": "MT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "66684331",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Whitefish, MT

Sources for this page

Verify at the official NPI Registry.