Individual provider Active NPI

Patrick Scott Edmondson

  • Chiropractor
  • Fort Benton, MT
National Provider Identifier
1609313535
Registry record updated Mar 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
9381 Issued in MT
Practice address
1518 Chouteau St
Fort Benton, MT 59442-9003
Phone
(406) 622-5485
NPI assigned
Jan 30, 2017
Last updated
Mar 26, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 26, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 9381 MT Primary
Chiropractor 111N00000X 33767 CA

Addresses

Primary practice location

1518 Chouteau St
Fort Benton, MT 59442-9003

Mailing address

PO Box 5096
Great Falls, MT 59403-5096
Phone (406) 622-5485

Other practice location 1

20092 Oak Tree Rd
North San Juan, CA 95960-9998
Phone (530) 802-6498

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250407002146 MT Practitioner - Chiropractic 7911247432 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - West Sunnyvale, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Chouteau County District HospitalGroup PAC ID 2365409703, 9 clinicians
Benefis Community Hospitals IncGroup PAC ID 9931414950, shared by 2 NPIs, 19 clinicians

Practice addresses (Care Compare)

1501 Saint Charles St
Fort Benton, MT 59442-7710

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9381MTMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Benefis Community Hospitals, Inc. CurrentSince Mar 27, 2025 Accepting new patients
Benefis Community Hospitals, Inc. CurrentSince Mar 27, 2025 Accepting new patients

Locations

915 4th St NW
Choteau, MT 59422
Phone (406) 466-5763

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": "1485734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742947200000",
    "number": "1609313535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5096",
            "city": "GREAT FALLS",
            "state": "MT",
            "postal_code": "594035096",
            "telephone_number": "406-622-5485"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1518 CHOUTEAU ST",
            "city": "FORT BENTON",
            "state": "MT",
            "postal_code": "594429003",
            "telephone_number": "406-622-5485"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "20092 Oak Tree Rd",
            "address_purpose": "LOCATION",
            "city": "North San Juan",
            "state": "CA",
            "postal_code": "959609998",
            "country_code": "US",
            "telephone_number": "530-802-6498",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EDMONDSON",
        "first_name": "PATRICK",
        "middle_name": "SCOTT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-01-30",
        "last_updated": "2025-03-26",
        "certification_date": "2025-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MT",
            "license": "9381",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "33767",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Benton, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.