Active NPI
Dawn Gormely, FNPC
- Nurse Practitioner
- Helena, MT
National Provider Identifier
1659359792
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- MTRN016908
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 50006414 | Other | MT | RAILROAD MEDICARE |
| 37086 | Other | MT | BCBS |
| 439036 | Medicaid | MT |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MTRN016908 | MT | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pureview Health Center | Current | Accepting new patients | |
| Pureview Health Center | Current | 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.
-
- Federally Qualified Health Center (FQHC)
- Helena, MT
- NPI 1740390756
-
- Federally Qualified Health Center (FQHC)
- Helena, MT
- NPI 1831916659
-
- Federally Qualified Health Center (FQHC)
- Helena, MT
- NPI 1891463048
-
- Critical Access Hospital
- Glasgow, MT
- NPI 1689685323
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.