NPIMap

Individual provider Active NPI

Carley C Robertson, M.D.

  • General Practice Physician
  • Havre, MT
National Provider Identifier
1649232448
Registry record updated Feb 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
5023 Issued in MT
Practice address
1412 Washington Ave
Havre, MT 59501-5106
Phone
(406) 265-1840
NPI assigned
Apr 5, 2006
Last updated
Feb 3, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 3, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 5023 MT
General Practice Physician 208D00000X 5023 MT Primary

Addresses

Primary practice location

1412 Washington Ave
Havre, MT 59501-5106

Mailing address

PO Box 2113
Havre, MT 59501-2113
Phone (406) 265-1840

Other practice location 1

315 W Madison Ave
Chester, MT 59522-7801
Phone (406) 759-5181

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address krmcmedicalrecords@krhdirect.org Direct Liberty County Hospital and Nursing Home, Inc

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
I20040929001216 MT Practitioner - Emergency MedicinePractitioner - General Practice 0749259380 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency MedicineAlso: General Practice
Education
University of Washington School of Medicine, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sweet Memorial Nursing HomeGroup PAC ID 2466461405, 3 clinicians
Northern Montana HospitalGroup PAC ID 2264343912, 44 clinicians

Practice addresses (Care Compare)

125 Airport Rd
Chinook, MT 59523-7830
Phone (406) 357-2549

20 13 St W
Havre, MT 59501-5215
Phone (406) 265-7831

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Northern Montana Hospital Emergency Medicine Current Accepting new patients
Liberty County Hospital and Nursing Home, Inc CurrentSince Feb 2, 2026 Accepting new patients
Northern Montana Hospital CurrentSince Jan 1, 2004 Accepting new patients
Northern Montana Hospital CurrentSince Jan 1, 2004 Accepting new patients
Northern Montana Hospital Current Accepting new patients
Peterson Medical Clinics, LLC CurrentSince Feb 21, 2024 Accepting new patients

Locations

124 13th St
Havre, MT 59501
Phone (406) 265-5408

30 13th St
Havre, MT 59501
Phone (406) 262-1302

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.

FacilityTypeRoleSince
Sweet Memorial Nursing HomeChinook, MT, CCN 275127 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Jun 1, 2013
Jun 1, 2013

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 8

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 2

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": "1144195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770076800000",
    "number": "1649232448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2113",
            "city": "HAVRE",
            "state": "MT",
            "postal_code": "595012113",
            "telephone_number": "406-265-1840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1412 WASHINGTON AVE",
            "city": "HAVRE",
            "state": "MT",
            "postal_code": "595015106",
            "telephone_number": "406-265-1840"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "315 W Madison Ave",
            "address_purpose": "LOCATION",
            "city": "Chester",
            "state": "MT",
            "postal_code": "595227801",
            "country_code": "US",
            "telephone_number": "406-759-5181",
            "fax_number": "406-759-5799",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROBERTSON",
        "first_name": "CARLEY",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-04-05",
        "last_updated": "2026-02-03",
        "certification_date": "2026-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MT",
            "license": "5023",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "MT",
            "license": "5023",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "krmcmedicalrecords@krhdirect.org",
            "affiliation": "Y",
            "affiliationName": "Liberty County Hospital and Nursing Home, Inc",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "315 West Madison Avenue",
            "city": "Chester",
            "state": "MT",
            "country_code": "US",
            "postal_code": "595220705",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Havre, MT

Sources for this page

Verify at the official NPI Registry.