Individual provider Active NPI

Dawn Gormely, FNPC

  • Nurse Practitioner
  • Helena, MT
National Provider Identifier
1659359792
Registry record updated Feb 25, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
MTRN016908 Issued in MT
Practice address
1930 9TH Avenue
Helena, MT 59601
Phone
(406) 457-0000
Fax
(406) 457-8992
NPI assigned
Jan 9, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2020

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 MTRN016908 MT Primary

Addresses

Primary practice location

1930 9TH Avenue
Helena, MT 59601

Mailing address

1930 9TH Ave
Helena, MT 59601-4759
Phone (406) 457-0000

Other identifiers 3

IdentifierTypeStateIssuer
50006414OtherMTRAILROAD MEDICARE
37086OtherMTBCBS
439036MedicaidMT

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
I20090602000697 MT Practitioner - Nurse Practitioner 4981754520 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MTRN016908MTMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Pureview Health Center CurrentSince Feb 13, 2011 Accepting new patients
Pureview Health Center CurrentSince Feb 13, 2011 Accepting new patients
Pureview Health Center Current Accepting new patients
Frances Mahon Deaconess Hospital Past Accepting new patients

Locations

533 N Main St
Helena, MT 59601
Phone (406) 442-7000

630 N Last Chance Gulch
Ste 1100
Helena, MT 59601
Phone (406) 646-2522

1930 9th Ave
Ste 207
Helena, MT 59601
Phone (406) 443-2584

1930 9th Ave
Helena, MT 59601
Phone (406) 457-8905

Organizations & group practices 4

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": "1136764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582588800000",
    "number": "1659359792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1930 9TH AVE",
            "city": "HELENA",
            "state": "MT",
            "postal_code": "596014759",
            "telephone_number": "406-457-0000",
            "fax_number": "406-500-2128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1930 9TH AVENUE",
            "city": "HELENA",
            "state": "MT",
            "postal_code": "59601",
            "telephone_number": "406-457-0000",
            "fax_number": "406-457-8992"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORMELY",
        "first_name": "DAWN",
        "name_prefix": "Ms.",
        "credential": "FNPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-09",
        "last_updated": "2020-02-25",
        "certification_date": "2020-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MT",
            "license": "MTRN016908",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "50006414",
            "state": "MT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "37086",
            "state": "MT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "439036",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Helena, MT

Sources for this page

Verify at the official NPI Registry.