Individual provider Active NPI

Benjamin M Pike, CRNA

  • Certified Registered Nurse Anesthetist
  • Helena, MT
National Provider Identifier
1639614902
Registry record updated Jan 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
226947 Issued in MT
Practice address
2440 Winne Ave Ste 100
Helena, MT 59601-4913
Phone
(406) 457-4200
NPI assigned
Dec 22, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 226947 MT Primary

Addresses

Primary practice location

2440 Winne Ave Ste 100
Helena, MT 59601-4913

Mailing address

1411 Stuart St
Helena, MT 59601-2331
Phone (406) 440-5004

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address bpike353084@direct.myadvocateaurora.org Direct
FHIR URL https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI, MT2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20190724002054 WI Practitioner - Certified Registered Nurse Anesthetist (Crna) 5496030256 Reassigns benefits to 2 organizations
I20240326003481 MT Practitioner - Certified Registered Nurse Anesthetist (Crna) 5496030256 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vigilant Anesthesia Services LLCGroup PAC ID 0143756262, 7 clinicians

Practice addresses (Care Compare)

2440 Winne Ave
Suite 100
Helena, MT 59601-4913
Phone (406) 457-4200

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
226947MTMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Oconto Hospital & Medical Center, Inc. CurrentSince Jul 22, 2019 Accepting new patients
Oconto Hospital & Medical Center Inc Current Accepting new patients
Vigilant Anesthesia Services LLC Nurse Anesthetist, Certified Registered CurrentSince Nov 22, 2024 Accepting new patients
Oconto Hospital & Medical Center Inc CurrentSince Jul 22, 2019 Accepting new patients
Ascend Anesthesia Associates Mt LLC Nurse Anesthetist, Certified Registered CurrentSince Jan 7, 2024 Accepting new patients
Bellin Memorial Hospital Inc CurrentSince Jul 16, 2019 Accepting new patients

Locations

400 10th St E
Waconia, MN 55387

2440 Winne Ave
Ste 100
Helena, MT 59601
Phone (406) 452-4200

744 S Webster Ave
Green Bay, WI 54301
Phone (920) 433-6025

2820 Roosevelt Rd
Marinette, WI 54143
Phone (715) 330-6171

820 Arbutus Ave
Oconto, WI 54153
Phone (920) 835-1100

Interoperability endpoints

  • Direct secure messaging: bpike353084@direct.myadvocateaurora.org

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1482364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736121600000",
    "number": "1639614902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1411 STUART ST",
            "city": "HELENA",
            "state": "MT",
            "postal_code": "596012331",
            "telephone_number": "406-440-5004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2440 WINNE AVE STE 100",
            "city": "HELENA",
            "state": "MT",
            "postal_code": "596014913",
            "telephone_number": "406-457-4200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIKE",
        "first_name": "BENJAMIN",
        "middle_name": "M",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-12-22",
        "last_updated": "2025-01-06",
        "certification_date": "2025-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MT",
            "license": "226947",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "bpike353084@direct.myadvocateaurora.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "5000 Memorial Dr",
            "city": "Two Rivers",
            "state": "WI",
            "country_code": "US",
            "postal_code": "542413900",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "5000 Memorial Dr",
            "city": "Two Rivers",
            "state": "WI",
            "country_code": "US",
            "postal_code": "542413900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Helena, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.