Gail Anne Wissenbach, NP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

132602 Issued in MT

Practice address

2400 Continental Dr
Butte, MT 59701-6563

Phone

(406) 381-2186

NPI assigned

Apr 19, 2024

Last updated

Apr 19, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Theoria MedicalGroup PAC ID 5395098339, 317 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Theoria Medical

  • Internal Medicine Physician
  • Novi, MI
  • NPI 1609362375

  MT, Nurse Practitioner

  Medicare reassignment Care Compare group NPD
• Complexcare Medical Group Mountain West H PLLC

  • Internal Medicine Physician
  • Novi, MI
  • NPI 1265326417

  MT

  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1713484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713484800000",
    "number": "1700631132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2400 CONTINENTAL DR",
            "city": "BUTTE",
            "state": "MT",
            "postal_code": "597016563",
            "telephone_number": "406-381-2186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 CONTINENTAL DR",
            "city": "BUTTE",
            "state": "MT",
            "postal_code": "597016563",
            "telephone_number": "406-381-2186"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WISSENBACH",
        "first_name": "GAIL",
        "middle_name": "ANNE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-04-19",
        "last_updated": "2024-04-19",
        "certification_date": "2024-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MT",
            "license": "132602",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jacob Willis
• Tara Jane Willoughby, APRN
• Willow Nurse Wellness, LLC
• Sarah Ann Wimmer
• Bryan Wisherd, RPH PHARMD
• Peter D Wolfgram, RPH
• Peggy Jane Wolstein, PMHNP-BC
• Kyler James Wood
• Lucas Woodhead, LCSW
• Woods' Rose Wellness Center

• Nurse Practitioner in Butte, MT
• Providers in Butte, MT by specialty
• Nurse Practitioner in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2024; 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.

Verify at the official NPI Registry.