Active NPI
Kyra Lynee Carpenter, D.O.
- Geriatric Medicine (Family Medicine) Physician
- Great Falls, MT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Medicine (Family Medicine) Physician
- License
- 155198
- Practice address
- 1401 25TH St S
Great Falls, MT 59405-5183 - Phone
- (406) 455-5000
- NPI assigned
- May 16, 2011
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Geriatric Medicine (Family Medicine) Physician | 207QG0300X | 155198 | MT | Primary |
| Geriatric Medicine (Family Medicine) Physician | 207QG0300X | OP60927120 | WA |
Addresses
Primary practice location
1401 25TH St S
Great Falls, MT 59405-5183
Mailing address
PO Box 6010
Great Falls, MT 59406-6010
Phone (406) 455-5000
Other practice location 1
820 N Chelan Ave
Wenatchee, WA 98801-2028
Phone (509) 663-8711
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA, MT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Geriatric Medicine
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1401 25TH St S
Great Falls, MT 59405-5183
Phone (406) 455-5000
Hospital & facility affiliations
- Advanced Home Health NW of Wenatchee
- Peace Hospice of Montana
- Benefis Hospitals Inc
- Confluence Health Hospital
- Benefis Senior Services - Eastview
- Benefis Senior Services - Westview
- Colonial Vista Post-Acute & Rehab Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 155198 | MT | MD | Geriatric Medicine (Family Medicine) Physician |
| OP60927120 | WA | MD | Geriatric Medicine (Family Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wenatchee Valley Hospital | Current | Accepting new patients | |
| Benefis Hospitals Inc | Current | Accepting new patients | |
| Wenatchee Valley Hospital | Current | Accepting new patients | |
| Care Center Wenatchee Inc | Past | Accepting new patients | |
| Benefis Hospitals, Inc. | Past | Accepting new patients | |
| T-Street Holdings LLC | Past | Accepting new patients | |
| Colonial Vista SNF Healthcare LLC | Past | Accepting new patients |
Locations
1101 26th St S
Great Falls, MT 59405
Phone (406) 455-4690
1101 26th St S
Fl 5
Great Falls, MT 59405
Phone (406) 455-2132
2621 15th Ave S
Great Falls, MT 59405
Phone (406) 455-5902
1401 25th St S
Great Falls, MT 59405
Phone (406) 455-3650
500 15th Ave S
Great Falls, MT 59405
Phone (406) 455-2021
17 S Western Ave
Tonasket, WA 98855
Phone (509) 486-2174
1201 S Miller St
Wenatchee, WA 98801
Phone (509) 662-2208
933 Red Apple Rd
Wenatchee, WA 98801
Phone (509) 655-6125
820 N Chelan Ave
Wenatchee, WA 98801
Phone (509) 863-4868
Interoperability endpoints
- kcarpenter56230@benefishs.direct-ci.com
- kcarpenter63626@edirect.chehr.org
Ownership & related parties
All facility ownership & control disclosures 1
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| Colonial Vista Post Acute | Skilled nursing facility | Operational/Managerial Control Adp of the SNF |
Aug 1, 2024 Sep 19, 2025 |
Owned or controlled facilities with NPI records 1
Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.
-
- Skilled Nursing Facility
- Wenatchee, WA
- NPI 1629827811
Adp of the SNF, Operational/Managerial Control
Organizations & group practices 7
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.
-
- Multi-Specialty Clinic/Center
- Great Falls, MT
- NPI 1780968974
-
- Multi-Specialty Clinic/Center
- Wenatchee, WA
- NPI 1669719688
-
- Clinical Medical Laboratory
- Wenatchee, WA
- NPI 1689916819
-
- Physical Therapist
- Great Falls, MT
- NPI 1750530515
-
- Skilled Nursing Facility
- Wenatchee, WA
- NPI 1942653027
-
- Skilled Nursing Facility
- Wenatchee, WA
- NPI 1629827811
-
- Skilled Nursing Facility
- Cashmere, WA
- NPI 1598234577
Hospital & facility affiliations 8
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Inpatient Hospice
- Great Falls, MT
- NPI 1750398665
-
- General Acute Care Hospital
- Great Falls, MT
- NPI 1881650737
-
- General Acute Care Hospital
- Wenatchee, WA
- NPI 1306883228
-
- Skilled Nursing Facility
- Wenatchee, WA
- NPI 1629827811
Nursing home
-
- Home Health Agency
- Wenatchee, WA
- NPI 1366962953
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1305504000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1750032000000",
"number": "1639462294",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 6010",
"city": "GREAT FALLS",
"state": "MT",
"postal_code": "594066010",
"telephone_number": "406-455-5000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1401 25TH ST S",
"city": "GREAT FALLS",
"state": "MT",
"postal_code": "594055183",
"telephone_number": "406-455-5000"
}
],
"practiceLocations": [
{
"address_1": "820 N Chelan Ave",
"address_purpose": "LOCATION",
"city": "Wenatchee",
"state": "WA",
"postal_code": "988012028",
"country_code": "US",
"telephone_number": "509-663-8711",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CARPENTER",
"first_name": "KYRA",
"middle_name": "LYNEE",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-05-16",
"last_updated": "2025-06-16",
"certification_date": "2025-06-16",
"status": "A"
},
"taxonomies": [
{
"code": "207QG0300X",
"taxonomy_group": "",
"desc": "Family Medicine, Geriatric Medicine",
"state": "MT",
"license": "155198",
"primary": true
},
{
"code": "207QG0300X",
"taxonomy_group": "",
"desc": "Family Medicine, Geriatric Medicine",
"state": "WA",
"license": "OP60927120",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Great Falls, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; 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.