Individual provider Active NPI

Merlin Bardett Fausett, M.D.

  • Maternal & Fetal Medicine Physician
  • Missoula, MT
National Provider Identifier
1659403038
Registry record updated Nov 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Maternal & Fetal Medicine PhysicianTaxonomy code 207VM0101X
License
30616 Issued in MT
Practice address
2831 Fort Missoula Rd Ste 232
Missoula, MT 59804-7479
Phone
(406) 523-5650
Fax
(855) 823-5532
NPI assigned
Mar 11, 2007
Last updated
Nov 16, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 16, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 336166-1205 UT
Critical Care Medicine (Obstetrics & Gynecology) Physician 207VC0200X 336166-1205 UT
Maternal & Fetal Medicine Physician 207VM0101X 30616 MT Primary
Maternal & Fetal Medicine Physician 207VM0101X MD.13790R LA

Addresses

Primary practice location

2831 Fort Missoula Rd Ste 232
Missoula, MT 59804-7479

Mailing address

3405 Ravenwood LN
Missoula, MT 59803-3219
Phone (406) 360-7941

Other practice location 1

6 13th Ave E
Polson, MT 59860-5315
Phone (406) 883-5680

Other identifiers 2

IdentifierTypeStateIssuer
87041014401MedicaidUT
1126148-00MedicaidWY

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201023002715 MT Practitioner - Other (Physician)Practitioner - Obstetrics/Gynecology 9638398266 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Undefined Physician Type (Specify)Also: Obstetrics/Gynecology
Education
Uniformed Services Uhs Fe Hebert School of Med, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Origin Health LLCGroup PAC ID 8325465487, 8 clinicians

Practice addresses (Care Compare)

225 S Clark St
Butte, MT 59701-1515
Phone (406) 221-1195

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
336166-1205UTMDObstetrics & Gynecology Physician
MD.13790RLAMDMaternal & Fetal Medicine Physician
30616MTMDMaternal & Fetal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Community Hospital of Anaconda CurrentSince Oct 15, 2023 Accepting new patients
Origin Health LLC Current Accepting new patients
Credena Health LLC CurrentSince May 28, 2025 Accepting new patients
Community Hospital of Anaconda CurrentSince Oct 15, 2023 Accepting new patients
Community Hospital of Anaconda Current Accepting new patients
Providence St Joseph Medical Center CurrentSince May 28, 2025 Accepting new patients
Origin Health LLC Obstetrics & Gynecology CurrentSince May 29, 2020 Accepting new patients
RCHP Billings - Missoula LLC Past Accepting new patients

Locations

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

225 S Clark St
Butte, MT 59701
Phone (406) 782-1286

1400 29th St S
Ste 101
Great Falls, MT 59405
Phone (406) 761-7924

2600 Winne Ave
Ste E
Helena, MT 59601
Phone (406) 442-8062

770 W Reserve Dr
Ste 3
Kalispell, MT 59901
Phone (406) 300-4511

2831 Fort Missoula Rd
Ste 102
Missoula, MT 59804
Phone (406) 327-3819

2831 Fort Missoula Rd
Ste 232
Missoula, MT 59804
Phone (406) 523-5650

6 13th Ave E
Polson, MT 59860
Phone (406) 883-5377

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/21046/brand/1/csg/1/fhir/r4
  • Direct secure messaging: merlin.fausett.1@21046.direct.athenahealth.com
  • Direct secure messaging: mfausett3017693@wm.providencedirect.org

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1173571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763251200000",
    "number": "1659403038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3405 RAVENWOOD LN",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598033219",
            "telephone_number": "406-360-7941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2831 FORT MISSOULA RD STE 232",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598047479",
            "telephone_number": "406-523-5650",
            "fax_number": "855-823-5532"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6 13th Ave E",
            "address_purpose": "LOCATION",
            "city": "Polson",
            "state": "MT",
            "postal_code": "598605315",
            "country_code": "US",
            "telephone_number": "406-883-5680",
            "fax_number": "406-883-8910",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FAUSETT",
        "first_name": "MERLIN",
        "middle_name": "BARDETT",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-11",
        "last_updated": "2025-11-16",
        "certification_date": "2025-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "UT",
            "license": "336166-1205",
            "primary": false
        },
        {
            "code": "207VC0200X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Critical Care Medicine",
            "state": "UT",
            "license": "336166-1205",
            "primary": false
        },
        {
            "code": "207VM0101X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
            "state": "MT",
            "license": "30616",
            "primary": true
        },
        {
            "code": "207VM0101X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
            "state": "LA",
            "license": "MD.13790R",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "87041014401",
            "state": "UT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1126148-00",
            "state": "WY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Missoula, MT

Sources for this page

Verify at the official NPI Registry.