Jackson A Shaver, MD

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

MED-PHYS-LIC-118840 Issued in MT

Practice address

1200 Westwood Dr
Hamilton, MT 59840-2345

Phone

(406) 363-2211

NPI assigned

Mar 20, 2020

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in MT, ID2 enrollments

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 2

Specialty

Emergency Medicine

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Marcus Daly Memorial Hospital CorporationGroup PAC ID 5597664474, 97 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Bitterroot Health - Daly Hospital Hospital, Hamilton, MT, CCN 271340

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Marcus Daly Memorial Hospital Corporation

  dba Bitterroot Health - Daly Hospital

  • Critical Access Hospital
  • Hamilton, MT
  • NPI 1659475846
  Medicare reassignment Care Compare group NPD
• St Lukes Clinic - Wood River LLC

  • Internal Medicine Physician
  • Ketchum, ID
  • NPI 1972891604

  Emergency Medicine

  Medicare reassignment NPD
• Marcus Daly Memorial Hospital Corporation

  dba Bitterroot Health - Nephrology

  • Nephrology Physician
  • Hamilton, MT
  • NPI 1235997958
  NPD
• Marcus Daly Memorial Hospital Corporation

  dba Bitterroot Health-Neurosurgery

  • Neurological Surgery Physician
  • Hamilton, MT
  • NPI 1861730418
  NPD

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

• Marcus Daly Memorial Hospital Corporation

  dba Bitterroot Health - Daly Hospital

  • Critical Access Hospital
  • Hamilton, MT
  • NPI 1659475846
  Care Compare affiliation

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

{
    "created_epoch": "1584662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738108800000",
    "number": "1669008710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 WESTWOOD DR",
            "city": "HAMILTON",
            "state": "MT",
            "postal_code": "598402345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 WESTWOOD DR",
            "city": "HAMILTON",
            "state": "MT",
            "postal_code": "598402345",
            "telephone_number": "406-363-2211"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 Hospital Dr",
            "address_purpose": "LOCATION",
            "city": "Ketchum",
            "state": "ID",
            "postal_code": "83340",
            "country_code": "US",
            "telephone_number": "208-727-8100",
            "fax_number": "208-727-8124",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHAVER",
        "first_name": "JACKSON",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-03-20",
        "last_updated": "2025-01-29",
        "certification_date": "2025-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MT",
            "license": "MED-PHYS-LIC-118840",
            "primary": true
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "ID",
            "license": "9661578",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1669008710",
            "state": "ID"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200016364",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Pete Seifert
• Gregory Glen Seltzer, D.D.S.
• Joan Nanette Seltzer, NCAC 1, LAC
• Ryan Francis Senn, DPT
• Courtney Charlotte Shanahan, APRN, FNP-C
• Sherwood Dental PLLC (Elk Meadow Dental Care)
• Stephen Blaine Sherwood, DMD
• Paul E Shingledecker, M.D.
• Blythe Siebenaller, LCSW, LAC
• Peter F Silcher, DDS

• Emergency Medicine Physician in Hamilton, MT
• Providers in Hamilton, MT by specialty
• Emergency Medicine Physician in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2025; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.