NPIMap

Individual provider Active NPI

Darby Bettenhausen, PA-C

  • Physician Assistant
  • Colstrip, MT
National Provider Identifier
1639897044
Registry record updated Sep 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
MED-PAC-LIC-144710 Issued in MT
Practice address
6230 Main St
Colstrip, MT 59323-9520
Phone
(406) 748-3600
NPI assigned
Aug 22, 2022
Last updated
Sep 4, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2024

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 MED-PAC-LIC-144710 MT Primary

Addresses

Primary practice location

6230 Main St
Colstrip, MT 59323-9520

Mailing address

6230 Main St
Colstrip, MT 59323-9520
Phone (406) 748-3600

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241009004036 MT Practitioner - Physician Assistant 6800327297 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Colstrip Medical CenterGroup PAC ID 8224023296, 9 clinicians

Practice addresses (Care Compare)

6230 Main St
Colstrip, MT 59323-9520
Phone (406) 748-3600

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MED-PAC-LIC-144710MTMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
County of Rosebud Past Accepting new patients

Organizations & group practices 2

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 12

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": "1661126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725408000000",
    "number": "1639897044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6230 MAIN ST",
            "city": "COLSTRIP",
            "state": "MT",
            "postal_code": "593239520",
            "telephone_number": "406-748-3600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6230 MAIN ST",
            "city": "COLSTRIP",
            "state": "MT",
            "postal_code": "593239520",
            "telephone_number": "406-748-3600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BETTENHAUSEN",
        "first_name": "DARBY",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-22",
        "last_updated": "2024-09-04",
        "certification_date": "2024-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MT",
            "license": "MED-PAC-LIC-144710",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colstrip, MT

Sources for this page

Verify at the official NPI Registry.