Individual provider Active NPI

Cyril J Schaefer, ARNP

  • Nurse Practitioner
  • Anaconda, MT
National Provider Identifier
1659323103
Registry record updated Jan 8, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
RN21373 Issued in MT
Practice address
401 W Pennsylvania St
Anaconda, MT 59711-1931
Phone
(406) 563-8686
Fax
(406) 563-8691
NPI assigned
May 16, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2014

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 RN21373 MT Primary

Addresses

Primary practice location

401 W Pennsylvania St
Anaconda, MT 59711-1931

Mailing address

401 W Pennsylvania St
Anaconda, MT 59711-1931
Phone (406) 563-8686

Other identifiers 1

IdentifierTypeStateIssuer
4305199MedicaidMT

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
I20041213000677 MT Practitioner - Nurse Practitioner 9133186067 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN21373MTMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Community Hospital of Anaconda Nurse Practitioner Current Accepting new patients
Community Hospital of Anaconda CurrentSince Jul 9, 2012 Accepting new patients
Community Hospital of Anaconda CurrentSince Jul 9, 2012 Accepting new patients
Community Hospital of Anaconda Current Accepting new patients
Community Hospital of Anaconda Past Accepting new patients

Locations

401 W Pennsylvania Ave
Anaconda, MT 59711
Phone (406) 563-5261

305 W Pennsylvania Ave
Anaconda, MT 59711
Phone (406) 563-8571

1102 E Commercial Ave
Anaconda, MT 59711
Phone (406) 563-7282

Interoperability endpoints

  • Direct secure messaging: cschaefer236274@wm.providencedirect.org

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1147737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1389139200000",
    "number": "1659323103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 W PENNSYLVANIA ST",
            "city": "ANACONDA",
            "state": "MT",
            "postal_code": "597111931",
            "telephone_number": "406-563-8686",
            "fax_number": "406-563-8691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 W PENNSYLVANIA ST",
            "city": "ANACONDA",
            "state": "MT",
            "postal_code": "597111931",
            "telephone_number": "406-563-8686",
            "fax_number": "406-563-8691"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHAEFER",
        "first_name": "CYRIL",
        "middle_name": "J",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-16",
        "last_updated": "2014-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MT",
            "license": "RN21373",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4305199",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Anaconda, MT

Sources for this page

Verify at the official NPI Registry.