Individual provider Active NPI

Renee Meree Lance, PA-C

  • Physician Assistant
  • Great Falls, MT
National Provider Identifier
1639379167
Registry record updated Feb 27, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
20362 Issued in MT
Practice address
2510 Bobcat Way
Great Falls, MT 59405-5169
Phone
(406) 452-4433
Fax
(406) 452-3399
NPI assigned
Jul 23, 2007
Last updated
Feb 27, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 20362 MT Primary

Addresses

Primary practice location

2510 Bobcat Way
Great Falls, MT 59405-5169

Mailing address

2510 Bobcat Way
Great Falls, MT 59405-5169
Phone (406) 452-4433

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MT, NE, WA3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20140606000147 MT Practitioner - Physician Assistant 7012003593 Reassigns benefits to 1 organization
I20170915001373 NE Practitioner - Physician Assistant 7012003593 Reassigns benefits to 1 organization
I20221101002891 WA Practitioner - Physician Assistant 7012003593 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1233 N 30TH St
Billings, MT 59101-0127
Phone (406) 237-3913

16 N Miles Ave
Suite 101
Hardin, MT 59034-2356
Phone (406) 237-8270

2900 12TH Ave N
Suite 204E
Billings, MT 59101-7502
Phone (406) 237-5001

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
2155NEMDMassage Therapist
20362MTMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
SCL Health Medical Group - Billings, LLC CurrentSince Aug 1, 2021 Accepting new patients
North Platte Nebraska Hospital Corporation CurrentSince Jul 17, 2017 Accepting new patients
SCL Health Medical Group - Billings LLC CurrentSince Aug 1, 2021 Accepting new patients
Swedish Health Services CurrentSince Jul 20, 2022 Accepting new patients
SCL Health Medical Group - Billings LLC Past Accepting new patients
Allina Health System Past Accepting new patients

Locations

1233 N 30th St
Billings, MT 59101
Phone (406) 237-3850

2900 12th Ave N
Ste 204E
Billings, MT 59101
Phone (406) 237-5001

16 N Miles Ave
Hardin, MT 59034
Phone (406) 665-2205

601 W Leota St
North Platte, NE 69101
Phone (308) 534-2288

12917 SE 38th St
Ste 100
Bellevue, WA 98006
Phone (206) 292-7990

7320 216th St SW
Ste 210
Edmonds, WA 98026
Phone (206) 292-7990

Interoperability endpoints

  • Direct secure messaging: rlance204599@direct.nebraskamed.com

Organizations & group practices 8

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1185148800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1393459200000",
    "number": "1639379167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2510 BOBCAT WAY",
            "city": "GREAT FALLS",
            "state": "MT",
            "postal_code": "594055169",
            "telephone_number": "406-452-4433",
            "fax_number": "406-452-3399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2510 BOBCAT WAY",
            "city": "GREAT FALLS",
            "state": "MT",
            "postal_code": "594055169",
            "telephone_number": "406-452-4433",
            "fax_number": "406-452-3399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANCE",
        "first_name": "RENEE",
        "middle_name": "MEREE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-23",
        "last_updated": "2014-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MT",
            "license": "20362",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Great Falls, MT

Sources for this page

Verify at the official NPI Registry.