Individual provider Active NPI

Amy Nicole Vander Giessen, NP-C

  • Nurse Practitioner
  • Helena, MT
National Provider Identifier
1649022872
Registry record updated Apr 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
236983 Issued in MT
Practice address
2550 E Broadway St
Helena, MT 59601-4905
Phone
(406) 447-4180
NPI assigned
Apr 2, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 236983 MT Primary

Addresses

Primary practice location

2550 E Broadway St
Helena, MT 59601-4905

Mailing address

PO Box 6369
Helena, MT 59604-6369

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MT
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 1

Enrollment IDStateProvider typePAC IDDetails
I20240607002838 MT Practitioner - Nurse Practitioner 0446792246 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Peters HealthGroup PAC ID 7911814926, 206 clinicians

Practice addresses (Care Compare)

2550 E Broadway St
Helena, MT 59601-4905
Phone (406) 447-2828

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
St Peter'S Health Current Accepting new patients
St. Peter'S Health CurrentSince Jun 10, 2024 Accepting new patients
St. Peter'S Health CurrentSince Jun 10, 2024 Accepting new patients

Locations

2550 E Broadway St
Helena, MT 59601
Phone (406) 495-6805

2475 E Broadway St
Helena, MT 59601
Phone (406) 442-2480

Organizations & group practices 3

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.

Hospital & facility affiliations 4

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": "1712016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712016000000",
    "number": "1649022872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6369",
            "city": "HELENA",
            "state": "MT",
            "postal_code": "596046369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2550 E BROADWAY ST",
            "city": "HELENA",
            "state": "MT",
            "postal_code": "596014905",
            "telephone_number": "406-447-4180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANDER GIESSEN",
        "first_name": "AMY",
        "middle_name": "NICOLE",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-04-02",
        "last_updated": "2024-04-02",
        "certification_date": "2024-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MT",
            "license": "236983",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Helena, MT

Sources for this page

Verify at the official NPI Registry.