Organization Active NPI

Total Family Care PLLP

  • Family Nurse Practitioner
  • Lewistown, MT
National Provider Identifier
1649728577
Registry record updated Sep 20, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN 100952 Issued in MT
Legal business name
TOTAL FAMILY CARE PLLP
Practice address
611 NE Main St Ste 2
Lewistown, MT 59457-4000
Phone
(406) 538-4067
Fax
(406) 206-5837
NPI assigned
Sep 20, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2016

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

Authorized official

Name
Kimberlee Dawne Decker, DNPNPI 1184803470
Title
Nurse Practitioner/Owner
Phone
(850) 459-2273

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X APRN 100952 MT Primary

Addresses

Primary practice location

611 NE Main St Ste 2
Lewistown, MT 59457-4000

Mailing address

PO Box 419
Lewistown, MT 59457-0419
Phone (406) 538-4067

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20161221001311 MT Part B Supplier - Clinic/Group Practice 2264713791 Receives reassigned benefits from 1 practitioner
Practice locations: Lewistown, MT

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
27D2120419Total Family Care611 NE Main Street Unit #2, Lewistown, MT 59457Provider-performed microscopyOct 16, 2026

National Provider Directory

National Provider Directory

Locations

611 NE Main St
Ste 2
Lewistown, MT 59457
Phone (406) 350-4067

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14642/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1474329600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1474329600000",
    "number": "1649728577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 419",
            "city": "LEWISTOWN",
            "state": "MT",
            "postal_code": "594570419",
            "telephone_number": "406-538-4067",
            "fax_number": "406-206-5837"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "611 NE MAIN ST STE 2",
            "city": "LEWISTOWN",
            "state": "MT",
            "postal_code": "594574000",
            "telephone_number": "406-538-4067",
            "fax_number": "406-206-5837"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOTAL FAMILY CARE PLLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-20",
        "last_updated": "2016-09-20",
        "status": "A",
        "authorized_official_last_name": "DECKER",
        "authorized_official_first_name": "KIMBERLEE",
        "authorized_official_middle_name": "DAWNE",
        "authorized_official_title_or_position": "NURSE PRACTITIONER/OWNER",
        "authorized_official_telephone_number": "850-459-2273",
        "authorized_official_credential": "DNP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "MT",
            "license": "APRN 100952",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lewistown, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2016; 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.