Individual provider Active NPI

Alison B Charman, NP

  • Adult Health Nurse Practitioner
  • Missoula, MT
National Provider Identifier
1669543039
Registry record updated Jul 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
RN023933 Issued in MT
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

Updated by the provider on Jul 15, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
27D0411341OtherMTCLIA ID#--LAB CERT
CI2709OtherMTRAILROAD MEDICARE GRP ID#
1104882232OtherMTGLACIER MEDICAL ASSOC NPI
000008287OtherMTMEDICARE PART B GRP ID#
810350909OtherMTFEIN
RN23933OtherMTMONTANA SATE LICENSE
000371341OtherMTBLUE 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050926000437 MT Practitioner - Nurse Practitioner 6204860539 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN23933MTMDFamily Medicine Physician
NUR-APRN-LIC-100305MTMDAdult Health Nurse Practitioner
RN023933MTMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Blue Mountain Clinic, Inc. Family Medicine CurrentSince Nov 1, 2011 Accepting new patients
Providence Health & Services Mt Family Medicine CurrentSince Dec 17, 2013 Accepting new patients
Providence Health & Services Mt Current Accepting new patients
Providence Health & Services Mt CurrentSince Dec 17, 2013 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

  • FHIR API: https://api.platform.athenahealth.com/15229/brand/1/csg/1/fhir/r4
  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.