Kimberly Anne Hendl, APRN
Individual provider Active NPI Adult Health Nurse Practitioner · Philipsburg, MT
NPI 1649919903 · NPPES record last updated Jun 7, 2022
Key facts
- NPI
- 1649919903
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Adult Health Nurse Practitioner 363LA2200X
- License
- NUR-APRN-LIC-194864 (MT)
- Practice address
- 4 Rumsey Ridge TRL
Philipsburg, MT 59858-9729 - Phone
- (208) 821-5822
- NPI assigned
- Jun 3, 2022
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MT
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240118004419 | MT | Practitioner - Nurse Practitioner | 0446602023 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| NUR-APRN-LIC-194864 | MT | MD | Adult Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Granite County Hospital District | Current |
Accepting new patients | |
| Granite County Hospital District | Current |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | NUR-APRN-LIC-194864 | MT | Yes |
Addresses
Primary practice location
4 Rumsey Ridge TRL
Philipsburg, MT 59858-9729
Mailing address
4 Rumsey Ridge TRL
Philipsburg, MT 59858-9729
Phone (208) 821-5822
Other providers in Philipsburg, MT
- Granite County Hospital District
- Granite County Hospital District
- Granite County Hospital District
- Granite Pharmacy LLC
- Granite Public Safety Corporation
- Mesa Spring Meng
- Scott Jeffrey Miner
- David Michael Neill
- Philipsburg School District
- John Piacquadio
All providers in Philipsburg, MT · Adult Health Nurse Practitioner in Montana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 7, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.