Individual provider Active NPI

Elizabeth Bassity, NP

  • Family Nurse Practitioner
  • Brockton, MT
National Provider Identifier
1629677976
Registry record updated May 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
NUR-APRN-LIC-233680 Issued in MT
Practice address
529 5TH St
Brockton, MT 59213
Phone
(406) 786-3202
Fax
(406) 412-2993
NPI assigned
Oct 19, 2020
Last updated
May 13, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 13, 2025

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 NUR-APRN-LIC-233680 MT Primary

Addresses

Primary practice location

529 5TH St
Brockton, MT 59213

Mailing address

24 James St
Waddington, NY 13694-3103
Phone (607) 262-6240

Other practice location 1

7785 N State St Fl 3
Lowville, NY 13367-1297
Phone (315) 376-5287

Other practice location 2

1014 Oswegatchie Trail Rd
Star Lake, NY 13690-3143
Phone (315) 848-5404

Other practice location 3

24 James St
Waddington, NY 13694-3103
Phone (607) 262-6240

Other identifiers 1

IdentifierTypeStateIssuer
14495500MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, TX2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20201228001617 NY Practitioner - Nurse Practitioner 3870906480 Reassigns benefits to 1 organization
I20251219001951 TX Practitioner - Nurse Practitioner 3870906480 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

371 Lincoln Ave
Big Sandy, MT 59520-7791

PO Box
Suite 1027
Poplar, MT 59255

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
NUR-APRN-LIC-233680MTMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Fort Peck Tribes CurrentSince Oct 10, 2025 Accepting new patients
Claxton-Hepburn Medical Center CurrentSince Jan 1, 2023 Accepting new patients
Frances Mahon Deaconess Hospital Past Accepting new patients

Locations

39 W Main St
Canton, NY 13617
Phone (315) 379-4700

214 King St
Ogdensburg, NY 13669
Phone (315) 713-5660

Interoperability endpoints

  • Direct secure messaging: ebassity@hiemail.healtheconnections.org

Organizations & group practices 3

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": "1603065600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747094400000",
    "number": "1629677976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 JAMES ST",
            "city": "WADDINGTON",
            "state": "NY",
            "postal_code": "136943103",
            "telephone_number": "607-262-6240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "529 5TH ST",
            "city": "BROCKTON",
            "state": "MT",
            "postal_code": "59213",
            "telephone_number": "406-786-3202",
            "fax_number": "406-412-2993"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7785 N State St Fl 3",
            "address_purpose": "LOCATION",
            "city": "Lowville",
            "state": "NY",
            "postal_code": "133671297",
            "country_code": "US",
            "telephone_number": "315-376-5287",
            "fax_number": "315-376-3228",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1014 Oswegatchie Trail Rd",
            "address_purpose": "LOCATION",
            "city": "Star Lake",
            "state": "NY",
            "postal_code": "136903143",
            "country_code": "US",
            "telephone_number": "315-848-5404",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "24 James St",
            "address_purpose": "LOCATION",
            "city": "Waddington",
            "state": "NY",
            "postal_code": "136943103",
            "country_code": "US",
            "telephone_number": "607-262-6240",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BASSITY",
        "first_name": "ELIZABETH",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-10-19",
        "last_updated": "2025-05-13",
        "certification_date": "2025-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MT",
            "license": "NUR-APRN-LIC-233680",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "14495500",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brockton, MT

Sources for this page

Verify at the official NPI Registry.