Active NPI
Bonnie Roll
- Advanced Practice Midwife
- Livingston, MT
National Provider Identifier
1619368115
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Advanced Practice Midwife
- License
- 1512
- Practice address
- 320 Alpenglow LN
Livingston, MT 59047-8506 - Phone
- (406) 222-3541
- Fax
- (406) 222-7606
- NPI assigned
- Feb 5, 2015
- 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 |
|---|---|---|---|---|
| Advanced Practice Midwife | 367A00000X | 1512 | AK | Primary |
Addresses
Primary practice location
320 Alpenglow LN
Livingston, MT 59047-8506
Mailing address
320 Alpenglow LN
Livingston, MT 59047-8506
Phone (406) 222-3541
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX, MT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Certified Nurse Midwife (CNM)
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
320 Alpenglow LN
Livingston, MT 59047-8506
Phone (406) 222-3541
Hospital & facility affiliations
- Livingston Healthcare
- Billings Clinic Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 74.05 of 100
- Quality
- 59.76
- Promoting interoperability
- 99
- Improvement activities
- 40
- Cost
- 54.58
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Midwife, Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Livingston Healthcare | Current | Accepting new patients | |
| Livingston Healthcare | Current | Accepting new patients | |
| Alaska Native Tribal Health Consortium | Current | Accepting new patients | |
| Livingston Healthcare | Current | Accepting new patients |
Locations
4315 Diplomacy Dr
Anchorage, AK 99508
Phone (907) 729-1729
320 Alpenglow Ln
Livingston, MT 59047
Phone (406) 222-3541
104 Centennial Dr
Livingston, MT 59047
Phone (406) 222-0030
104 Centennial Dr
Ste 103
Livingston, MT 59047
Phone (406) 222-0030
Interoperability endpoints
- broll@livingstonhealthcare.cernerdirect.com
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 and National Provider Directory roles.
-
- Critical Access Hospital
- Livingston, MT
- NPI 1245222306
-
- Rehabilitation Clinic/Center
- Gardiner, MT
- NPI 1225670375
-
- Rural Health Clinic/Center
- Livingston, MT
- NPI 1477676443
Hospital & facility affiliations 12
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Bozeman, MT
- NPI 1215660840
-
- General Acute Care Hospital
- Billings, MT
- NPI 1265478291
-
- Critical Access Hospital
- Livingston, MT
- NPI 1245222306
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1423094400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1595808000000",
"number": "1619368115",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "320 ALPENGLOW LN",
"city": "LIVINGSTON",
"state": "MT",
"postal_code": "590478506",
"telephone_number": "406-222-3541"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "320 ALPENGLOW LN",
"city": "LIVINGSTON",
"state": "MT",
"postal_code": "590478506",
"telephone_number": "406-222-3541",
"fax_number": "406-222-7606"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROLL",
"first_name": "BONNIE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-02-05",
"last_updated": "2020-07-27",
"certification_date": "2020-07-27",
"status": "A"
},
"taxonomies": [
{
"code": "367A00000X",
"taxonomy_group": "",
"desc": "Advanced Practice Midwife",
"state": "AK",
"license": "1512",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Livingston, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2020; 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.