Individual provider Active NPI

Laura Wetherelt, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Miles City, MT
National Provider Identifier
1689641052
Registry record updated Jul 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
100277 Issued in MT
Practice address
2911 Wilson St
Miles City, MT 59301-5722
Phone
(406) 234-2929
Fax
(406) 234-2928
NPI assigned
Mar 3, 2006
Last updated
Jul 27, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 100277 MT Primary
Primary Care Nurse Practitioner 363LP2300X RN19128 MT

Addresses

Primary practice location

2911 Wilson St
Miles City, MT 59301-5722

Mailing address

PO Box 4
Forsyth, MT 59327-0004

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address laurawetherelt2911@direct.practicefusion.com Direct

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
I20060418000714 MT Practitioner - Nurse Practitioner 0648219956 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Two Rivers WellnessGroup PAC ID 8123445434, 2 clinicians

Practice addresses (Care Compare)

2911 Wilson St
Miles City, MT 59301-5722
Phone (406) 234-2929

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
100277MTMDPsychiatric/Mental Health Nurse Practitioner
RN19128MTMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Two Rivers Wellness Psychiatric/Mental Health CurrentSince Feb 7, 2020 Accepting new patients
Eastern Montana Community Mental Health Center Psychiatric/Mental Health CurrentSince Jan 21, 2013 Accepting new patients

Locations

2508 Wilson St
Miles City, MT 59301
Phone (406) 234-0234

2911 Wilson St
Miles City, MT 59301
Phone (406) 234-2929

Interoperability endpoints

  • Direct secure messaging: laurawetherelt2911@direct.practicefusion.com

Organizations & group practices 2

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": "1141344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595808000000",
    "number": "1689641052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4",
            "city": "FORSYTH",
            "state": "MT",
            "postal_code": "593270004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2911 WILSON ST",
            "city": "MILES CITY",
            "state": "MT",
            "postal_code": "593015722",
            "telephone_number": "406-234-2929",
            "fax_number": "406-234-2928"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WETHERELT",
        "first_name": "LAURA",
        "name_prefix": "Mrs.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-03",
        "last_updated": "2020-07-27",
        "certification_date": "2020-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MT",
            "license": "100277",
            "primary": true
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "MT",
            "license": "RN19128",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "laurawetherelt2911@direct.practicefusion.com",
            "affiliation": "N",
            "endpointDescription": "secure email thru EHR",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2911 Wilson St",
            "city": "Miles City",
            "state": "MT",
            "country_code": "US",
            "postal_code": "593015722",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Miles City, MT

Sources for this page

Verify at the official NPI Registry.