Individual provider Active NPI

Jacqueline M Towarnicki, RN, NP-C, WHNP-BC

  • Nurse Practitioner
  • Missoula, MT
National Provider Identifier
1659717825
Registry record updated Sep 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
102930 Issued in MT
Practice address
401 Railroad St W
Missoula, MT 59802-4109
Phone
(406) 258-4123
NPI assigned
May 15, 2013
Last updated
Sep 17, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2020

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 102930 MT Primary
Adult Health Nurse Practitioner 363LA2200X CNP131090 ME
Women's Health Nurse Practitioner 363LW0102X CNP131090 ME
Registered Nurse 163W00000X 102929 MT
Registered Nurse 163W00000X 63952 ME

Addresses

Primary practice location

401 Railroad St W
Missoula, MT 59802-4109

Mailing address

401 Railroad St W
Missoula, MT 59802-4109
Phone (808) 388-2006

Other names 1

  • Jacqueline M Fee Former name

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
I20160924000471 MT Practitioner - Nurse Practitioner 4082936877 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
406 Recovery IncGroup PAC ID 0042687717, 13 clinicians

Practice addresses (Care Compare)

5 W Mendenhall St
Suite 202
Bozeman, MT 59715-3566
Phone (406) 219-7233

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
63952MEMDRegistered Nurse
102929MTMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
406 Recovery Inc CurrentSince Jul 12, 2024 Accepting new patients
Partnership Health Center Inc Registered Nurse Current Accepting new patients
Partnership Health Center Inc CurrentSince Aug 2, 2016 Accepting new patients
Partnership Health Center Inc CurrentSince Aug 2, 2016 Accepting new patients

Locations

100 N 27th St
Ste 200
Billings, MT 59101
Phone (406) 219-7233

5 W Mendenhall St
Ste 202
Bozeman, MT 59715
Phone (406) 219-7233

323 W Alder St
Missoula, MT 59802
Phone (406) 258-4195

401 Railroad St W
Missoula, MT 59802
Phone (406) 258-4183

1887 Whitney Mesa Dr
Henderson, NV 89014
Phone (702) 550-9079

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1368576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600300800000",
    "number": "1659717825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 RAILROAD ST W",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598024109",
            "telephone_number": "808-388-2006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 RAILROAD ST W",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598024109",
            "telephone_number": "406-258-4123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOWARNICKI",
        "first_name": "JACQUELINE",
        "middle_name": "M",
        "name_prefix": "Ms.",
        "credential": "RN, NP-C, WHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-05-15",
        "last_updated": "2020-09-17",
        "certification_date": "2020-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MT",
            "license": "102930",
            "primary": true
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "ME",
            "license": "CNP131090",
            "primary": false
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "ME",
            "license": "CNP131090",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MT",
            "license": "102929",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "ME",
            "license": "63952",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JACQUELINE",
            "last_name": "FEE",
            "middle_name": "M",
            "credential": "APRN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Missoula, MT

Sources for this page

Verify at the official NPI Registry.