Active NPI
Cari Douglass
- Physician Assistant
- Bozeman, MT
National Provider Identifier
1609673136
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- MED-PAC-LIC-172671
- Practice address
- 862 Harmon Stream Blvd Ste 101
Bozeman, MT 59718-4097 - Phone
- (406) 312-8360
- NPI assigned
- Mar 3, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | MED-PAC-LIC-172671 | MT | Primary |
Addresses
Primary practice location
862 Harmon Stream Blvd Ste 101
Bozeman, MT 59718-4097
Mailing address
1707 Wyatt Earp CT
Belgrade, MT 59714-1115
Phone (406) 274-7447
Other practice location 1
1650 Cochrane Cir
Fort Carson, CO 80913-4613
Phone (406) 274-7447
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- University of Nebraska College of Medicine, 2025
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
862 Harmon Stream Blvd
Suite 101
Bozeman, MT 59718-4097
Phone (406) 548-8719
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MED-PAC-LIC-172671 | MT | MD | Physician Assistant |
Organizations & group practices 1
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.
-
- Urgent Care Clinic/Center
- Belgrade, MT
- NPI 1073669461
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1740960000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1777593600000",
"number": "1609673136",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1707 WYATT EARP CT",
"city": "BELGRADE",
"state": "MT",
"postal_code": "597141115",
"telephone_number": "406-274-7447"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "862 HARMON STREAM BLVD STE 101",
"city": "BOZEMAN",
"state": "MT",
"postal_code": "597184097",
"telephone_number": "406-312-8360"
}
],
"practiceLocations": [
{
"address_1": "1650 Cochrane Cir",
"address_purpose": "LOCATION",
"city": "Fort Carson",
"state": "CO",
"postal_code": "809134613",
"country_code": "US",
"telephone_number": "406-274-7447",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DOUGLASS",
"first_name": "CARI",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-03-03",
"last_updated": "2026-05-01",
"certification_date": "2026-05-01",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "MT",
"license": "MED-PAC-LIC-172671",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bozeman, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.