Active NPI
Alison B Charman, NP
- Adult Health Nurse Practitioner
- Missoula, MT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- RN023933
- Practice address
- 500 W Broadway St
Missoula, MT 59802-4008 - Phone
- (406) 327-1940
- Fax
- (406) 327-1974
- NPI assigned
- Nov 10, 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | RN23933 | MT | |
| Adult Health Nurse Practitioner | 363LA2200X | NUR-APRN-LIC-100305 | MT | |
| Adult Health Nurse Practitioner | 363LA2200X | RN023933 | MT | Primary |
Addresses
Primary practice location
500 W Broadway St
Missoula, MT 59802-4008
Mailing address
PO Box 12
Liberty Lake, WA 99019-0012
Phone (509) 824-1284
Other practice location 1
1111 Baker Ave
Whitefish, MT 59937-2901
Phone (406) 862-2515 ext. 116
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 27D0411341 | Other | MT | CLIA ID#--LAB CERT |
| CI2709 | Other | MT | RAILROAD MEDICARE GRP ID# |
| 1104882232 | Other | MT | GLACIER MEDICAL ASSOC NPI |
| 000008287 | Other | MT | MEDICARE PART B GRP ID# |
| 810350909 | Other | MT | FEIN |
| RN23933 | Other | MT | MONTANA SATE LICENSE |
| 000371341 | Other | MT | BLUE CROSS/SHIELD PIN# |
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 |
|---|---|---|---|
| RN23933 | MT | MD | Family Medicine Physician |
| NUR-APRN-LIC-100305 | MT | MD | Adult Health Nurse Practitioner |
| RN023933 | MT | MD | Adult Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Blue Mountain Clinic, Inc. | Family Medicine | Current | Accepting new patients |
| Providence Health & Services Mt | Family Medicine | Current | Accepting new patients |
| Providence Health & Services Mt | Current | Accepting new patients | |
| Providence Health & Services Mt | Current | Accepting new patients |
Locations
350 Heritage Way
Ste 2100
Kalispell, MT 59901
Phone (406) 257-8992
610 N California St
Missoula, MT 59802
Phone (406) 721-1646
500 W Broadway St
Missoula, MT 59802
Phone (406) 327-1918
500 W Broadway St
Ste 320
Missoula, MT 59802
Phone (406) 329-2945
Interoperability endpoints
- https://api.platform.athenahealth.com/15229/brand/1/csg/1/fhir/r4
- acharman236534@wm.providencedirect.org
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.
-
- Family Medicine Physician
- Missoula, MT
- NPI 1407987548
-
- Rehabilitation Hospital Unit
- Missoula, MT
- NPI 1144319138
-
- Family Medicine Physician
- Missoula, MT
- NPI 1215222617
-
- Skilled Nursing Facility
- Missoula, MT
- NPI 1770815276
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163116800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1721001600000",
"number": "1669543039",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 12",
"city": "LIBERTY LAKE",
"state": "WA",
"postal_code": "990190012",
"telephone_number": "509-824-1284",
"fax_number": "406-327-1974"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 W BROADWAY ST",
"city": "MISSOULA",
"state": "MT",
"postal_code": "598024008",
"telephone_number": "406-327-1940",
"fax_number": "406-327-1974"
}
],
"practiceLocations": [
{
"address_1": "1111 Baker Ave",
"address_purpose": "LOCATION",
"city": "Whitefish",
"state": "MT",
"postal_code": "599372901",
"country_code": "US",
"telephone_number": "406-862-2515 x116",
"fax_number": "406-862-4229",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CHARMAN",
"first_name": "ALISON",
"middle_name": "B",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-10",
"last_updated": "2024-07-15",
"certification_date": "2024-07-15",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MT",
"license": "RN23933",
"primary": false
},
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "MT",
"license": "NUR-APRN-LIC-100305",
"primary": false
},
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "MT",
"license": "RN023933",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CLIA ID#--LAB CERT",
"identifier": "27D0411341",
"state": "MT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE GRP ID#",
"identifier": "CI2709",
"state": "MT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GLACIER MEDICAL ASSOC NPI",
"identifier": "1104882232",
"state": "MT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PART B GRP ID#",
"identifier": "000008287",
"state": "MT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FEIN",
"identifier": "810350909",
"state": "MT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MONTANA SATE LICENSE",
"identifier": "RN23933",
"state": "MT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS/SHIELD PIN#",
"identifier": "000371341",
"state": "MT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Missoula, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2024; 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.