Individual provider Active NPI

Allie Maffit, M.D.

  • Pediatric Hematology & Oncology Physician
  • Kalispell, MT
National Provider Identifier
1639434376
Registry record updated Aug 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Hematology & Oncology PhysicianTaxonomy code 2080P0207X
License
67624 Issued in MT
Practice address
350 Heritage Way Ste 1100
Kalispell, MT 59901
Phone
(406) 752-8668
NPI assigned
Jul 9, 2012
Last updated
Aug 14, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 5315055621 MI
Pediatrics Physician 208000000X 67624 MT
Pediatric Hematology & Oncology Physician 2080P0207X 4476 WI
Pediatric Hematology & Oncology Physician 2080P0207X 67624 MT Primary

Addresses

Primary practice location

350 Heritage Way Ste 1100
Kalispell, MT 59901

Mailing address

350 Heritage Way Ste 1100
Kalispell, MT 59901-3160

Other practice location 1

100 Michigan St NE
MC #13
Grand Rapids, MI 49503-2560
Phone (616) 267-0073

Other practice location 2

1000 N Oak Ave
Marshfield, WI 54449-5702
Phone (715) 387-5511

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address krmcmedicalrecords@krhdirect.org Kalispell Regional Medical Center Inc
Direct Messaging Address him@marshfieldclinichealthsystem.cernerdirect.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MT, WI2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20180731002935 MT Practitioner - Pediatric MedicinePractitioner - Hematology/Oncology 0446488373 Reassigns benefits to 2 organizations
I20240806002974 WI Practitioner - Pediatric MedicinePractitioner - Hematology/Oncology 0446488373 Reassigns benefits to 9 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
5315055621MIMDPediatrics Physician
67624MTMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kalispell Regional Medical Center, Inc CurrentSince Aug 31, 2018 Accepting new patients
Lakeview Medical Center Inc of Rice Lake CurrentSince Jul 26, 2024 Accepting new patients
MCHS Hospitals Inc CurrentSince Jul 26, 2024 Accepting new patients
Flambeau Hospital Inc CurrentSince Jul 26, 2024 Accepting new patients
Billings Cinic CurrentSince Jan 14, 2025 Accepting new patients
Kalispell Regional Medical Center Inc Current Accepting new patients
Beaver Dam Community Hospitals Inc CurrentSince Jul 26, 2024 Accepting new patients
Billings Clinic Current Accepting new patients
Lakeview Medical Center Inc of Rice Lake CurrentSince Jul 26, 2024 Accepting new patients
Memorial Hospital Inc CurrentSince Jul 26, 2024 Accepting new patients
Billings Clinic CurrentSince Jan 14, 2025 Accepting new patients
MCHS Hospitals Inc CurrentSince Jul 26, 2024 Accepting new patients
Flambeau Hospital Inc CurrentSince Jul 26, 2024 Accepting new patients
Marshfield Clinic Inc CurrentSince Jul 26, 2024 Accepting new patients
MCHS Hospitals Inc Current Accepting new patients
Beaver Dam Community Hospitals Inc CurrentSince Jul 26, 2024 Accepting new patients
Kalispell Regional Medical Center, Inc. CurrentSince Aug 31, 2018 Accepting new patients
Billings Clinic Past Accepting new patients

Locations

2800 10th Ave N
Billings, MT 59101
Phone (406) 248-3290

310 Sunnyview Ln
Kalispell, MT 59901
Phone (406) 751-5310

350 Heritage Way
Ste 1100
Kalispell, MT 59901
Phone (406) 752-8900

350 Heritage Way
Ste 2100
Kalispell, MT 59901
Phone (406) 257-8992

705 S University Ave
Beaver Dam, WI 53916
Phone (920) 885-6090

3501 Golf Rd
Eau Claire, WI 54701
Phone (715) 858-4200

1000 N Oak Ave
Marshfield, WI 54449
Phone (715) 387-5111

1102 S Center Ave
Merrill, WI 54452
Phone (715) 536-3399

N3708 River Ave
Neillsville, WI 54456
Phone (715) 743-3101

1700 W Stout St
Rice Lake, WI 54868
Phone (715) 236-6133

Interoperability endpoints

  • Direct secure messaging: him@marshfieldclinichealthsystem.cernerdirect.com
  • Direct secure messaging: krmcmedicalrecords@krhdirect.org

Organizations & group practices 19

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.

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1341792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723593600000",
    "number": "1639434376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 HERITAGE WAY STE 1100",
            "city": "KALISPELL",
            "state": "MT",
            "postal_code": "599013160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 HERITAGE WAY STE 1100",
            "city": "KALISPELL",
            "state": "MT",
            "postal_code": "59901",
            "telephone_number": "406-752-8668"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 Michigan St NE",
            "address_2": "MC #13",
            "address_purpose": "LOCATION",
            "city": "Grand Rapids",
            "state": "MI",
            "postal_code": "495032560",
            "country_code": "US",
            "telephone_number": "616-267-0073",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1000 N Oak Ave",
            "address_purpose": "LOCATION",
            "city": "Marshfield",
            "state": "WI",
            "postal_code": "544495702",
            "country_code": "US",
            "telephone_number": "715-387-5511",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAFFIT",
        "first_name": "ALLIE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-09",
        "last_updated": "2024-08-14",
        "certification_date": "2024-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MI",
            "license": "5315055621",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MT",
            "license": "67624",
            "primary": false
        },
        {
            "code": "2080P0207X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Hematology-Oncology",
            "state": "WI",
            "license": "4476",
            "primary": false
        },
        {
            "code": "2080P0207X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Hematology-Oncology",
            "state": "MT",
            "license": "67624",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "krmcmedicalrecords@krhdirect.org",
            "affiliation": "Y",
            "affiliationName": "Kalispell Regional Medical Center Inc",
            "address_1": "350 Heritage Way Ste 1100",
            "city": "Kalispell",
            "state": "MT",
            "country_code": "US",
            "postal_code": "59901",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "him@marshfieldclinichealthsystem.cernerdirect.com",
            "affiliation": "N",
            "address_1": "1000 N Oak Ave",
            "city": "Marshfield",
            "state": "WI",
            "country_code": "US",
            "postal_code": "544495702",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Kalispell, MT

Sources for this page

Verify at the official NPI Registry.