Active NPI
Karen H. Rickert, DO
- Family Medicine Physician
- Kalispell, MT
National Provider Identifier
1699737353
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 104068
- Practice address
- 3933 Ashley Lake Rd
Kalispell, MT 59901-8158 - Phone
- (440) 915-6235
- NPI assigned
- Apr 6, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 104068 | MT | Primary |
Addresses
Primary practice location
3933 Ashley Lake Rd
Kalispell, MT 59901-8158
Mailing address
3933 Ashley Lake Rd
Kalispell, MT 59901-8158
Phone (440) 915-6235
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy, Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 104068 | MT | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emergency Medicine Physicians of Medina County, LTD | Past | Accepting new patients | |
| MMS Emergency Physicians Inc | Emergency Medical Services | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Emergency Medicine Physician
- Lodi, OH
- NPI 1457390312
-
- Emergency Medical Services (Emergency Medicine) Physician
- Broadview Heights, OH
- NPI 1982643755
Emergency Medical Services
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144281600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1736899200000",
"number": "1699737353",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3933 ASHLEY LAKE RD",
"city": "KALISPELL",
"state": "MT",
"postal_code": "599018158",
"telephone_number": "440-915-6235"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3933 ASHLEY LAKE RD",
"city": "KALISPELL",
"state": "MT",
"postal_code": "599018158",
"telephone_number": "440-915-6235"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RICKERT",
"first_name": "KAREN",
"middle_name": "H.",
"credential": "DO",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-04-06",
"last_updated": "2025-01-15",
"certification_date": "2025-01-15",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MT",
"license": "104068",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kalispell, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.