Megan Bristol, MSN, RN, CNM
Individual provider Active NPI Advanced Practice Midwife · Butte, MT
NPI 1689327165 · NPPES record last updated Feb 3, 2022
Key facts
- NPI
- 1689327165
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Advanced Practice Midwife 367A00000X
- License
- 192107 (MT)
- Practice address
- 400 S Clark St
Butte, MT 59701-2328 - Phone
- (406) 496-3627
- NPI assigned
- Feb 3, 2022
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 4
Medicare Care Compare profile
- Specialty
- Certified Nurse Midwife (CNM)
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Origin Health LLC
Practice addresses (Care Compare)
225 S Clark St
Butte, MT 59701-1515
Phone (406) 221-1195
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MT
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220602001396 | MT | Practitioner - Certified Nurse Midwife (CNM) | 5991183949 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Certified Nurse Midwife, Master of Science - Nursing, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 192107 | MT | MD | Advanced Practice Midwife |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| SCL Health Medical Group-Butte LLC | Single Specialty | Current |
Accepting new patients |
| Origin Health LLC | Single Specialty | Current |
Accepting new patients |
| SCL Health Medical Group-Butte LLC | Single Specialty | Current |
Accepting new patients |
| St James Healthcare | Single Specialty | Past | Accepting new patients |
Locations
400 S Clark St
Butte, MT 59701
Phone (406) 495-7260
225 S Clark St
Butte, MT 59701
Phone (406) 782-1286
2831 Fort Missoula Rd
Ste 232
Missoula, MT 59804
Phone (406) 523-5650
Interoperability endpoints
- https://api.platform.athenahealth.com/21046/brand/1/csg/1/fhir/r4
- megan.bristol.1@21046.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Advanced Practice Midwife |
367A00000X | 192107 | MT | Yes |
Addresses
Primary practice location
400 S Clark St
Butte, MT 59701-2328
Mailing address
451 Little Basin Creek Rd
Butte, MT 59701-9612
Phone (406) 498-1128
Other providers in Butte, MT
- Sara Rachel Brackett
- Michelle Lee Bradley
- William Dennis Brennick
- Serena Zephyr Brewer
- Brian Komm DPM PC
- David Kirk Brower
- Annah Brown
- Kendra Brown
- Harold W Bruce
- Patricia Lane Brusati
All providers in Butte, MT · Advanced Practice Midwife in Montana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 3, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.