Active NPI
Rachael Clark
- Nurse Practitioner
- Malmstrom Afb, MT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 207866
- Practice address
- 7300 N Perimeter Rd
Malmstrom Afb, MT 59402-6701 - Phone
- (406) 731-2110
- NPI assigned
- Jan 18, 2023
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 207866 | MT | Primary |
Addresses
Primary practice location
7300 N Perimeter Rd
Malmstrom Afb, MT 59402-6701
Mailing address
7300 N Perimeter Rd
Malmstrom Afb, MT 59402-6701
Phone (406) 731-2110
Other practice location 1
1101 26th St S
Great Falls, MT 59405-5161
Phone (406) 455-5000
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | rclark31746@benefishs.direct-ci.com | Benefis Hospitals Inc |
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230309001817 | MT | Practitioner - Nurse Practitioner | 5496128696 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Teton Medical Center
Practice addresses (Care Compare)
1101 26TH St S
Great Falls, MT 59405-5161
Phone (406) 455-5000
915 4TH St NW
Choteau, MT 59422-9123
Hospital & facility affiliations
- Benefis Hospitals Inc
- Benefis Teton Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 82.99 of 100
- Quality
- 62.64
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 80.67
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 207866 | MT | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Benefis Community Hospitals, Inc. | Current | Accepting new patients | |
| Benefis Community Hospitals, Inc. | Current | Accepting new patients | |
| Benefis Hospitals Inc | Current | Accepting new patients |
Locations
915 4th St NW
Choteau, MT 59422
Phone (406) 466-5763
1401 25th St S
Great Falls, MT 59405
Phone (406) 455-3650
25 14th Ave NW
Great Falls, MT 59404
Phone (406) 455-4777
1101 26th St S
Great Falls, MT 59405
Phone (406) 455-4690
1101 26th St S
Fl 5
Great Falls, MT 59405
Phone (406) 455-2132
2960 N Washington St
Helena, MT 59602
Phone (406) 389-2555
Organizations & group practices 3
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.
-
- Critical Access Hospital
- Fort Benton, MT
- NPI 1164102794
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1674000000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1740614400000",
"number": "1699480202",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7300 N PERIMETER RD",
"city": "MALMSTROM AFB",
"state": "MT",
"postal_code": "594026701",
"telephone_number": "406-731-2110"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7300 N PERIMETER RD",
"city": "MALMSTROM AFB",
"state": "MT",
"postal_code": "594026701",
"telephone_number": "406-731-2110"
}
],
"practiceLocations": [
{
"address_1": "1101 26th St S",
"address_purpose": "LOCATION",
"city": "Great Falls",
"state": "MT",
"postal_code": "594055161",
"country_code": "US",
"telephone_number": "406-455-5000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CLARK",
"first_name": "RACHAEL",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-01-18",
"last_updated": "2025-02-27",
"certification_date": "2025-02-27",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "MT",
"license": "207866",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "rclark31746@benefishs.direct-ci.com",
"affiliation": "Y",
"affiliationName": "Benefis Hospitals Inc",
"address_1": "1101 26th St S",
"city": "Great Falls",
"state": "MT",
"country_code": "US",
"postal_code": "594055161",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Malmstrom Afb, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 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.