Active NPI
Kiley Wensel, CNM
- Advanced Practice Midwife
- Kalispell, MT
National Provider Identifier
1710522677
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Advanced Practice Midwife
- License
- 146219
- Practice address
- 210 Sunnyview LN Ste 101
Kalispell, MT 59901-3128 - Phone
- (406) 751-8009
- Fax
- (406) 257-6436
- NPI assigned
- Nov 14, 2019
- 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 |
|---|---|---|---|---|
| Advanced Practice Midwife | 367A00000X | 146219 | MT | Primary |
Addresses
Primary practice location
210 Sunnyview LN Ste 101
Kalispell, MT 59901-3128
Mailing address
PO Box 4166
Whitefish, MT 59937-4166
Phone (406) 249-1849
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | DEPTLHRevlntegrityHIMTechs@logan.org | Kalispell Regional Medical Center, 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: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Midwife
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 146219 | MT | MD | Advanced Practice Midwife |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kalispell Regional Medical Center, Inc | Current | Accepting new patients | |
| Kalispell Regional Medical Center Inc | Current | Accepting new patients | |
| Kalispell Regional Medical Center Inc | Current | Accepting new patients | |
| U S Health Dept of Health & Human Services | Past | Accepting new patients |
Locations
350 Heritage Way
Ste 2100
Kalispell, MT 59901
Phone (406) 257-8992
210 Sunnyview Ln
Ste 101
Kalispell, MT 59901
Phone (406) 257-6464
310 Sunnyview Ln
Kalispell, MT 59901
Phone (406) 751-5310
Interoperability endpoints
- deptlhrevlntegrityhimtechs@logan.org
Organizations & group practices 4
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.
-
- General Acute Care Hospital
- Kalispell, MT
- NPI 1417945627
-
- Clinic/Center
- Kalispell, MT
- NPI 1235333139
-
- Radiology Clinic/Center
- Whitefish, MT
- NPI 1073362463
-
- General Acute Care Hospital
- Browning, MT
- NPI 1861409955
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1573689600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1635379200000",
"number": "1710522677",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 4166",
"city": "WHITEFISH",
"state": "MT",
"postal_code": "599374166",
"telephone_number": "406-249-1849"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "210 SUNNYVIEW LN STE 101",
"city": "KALISPELL",
"state": "MT",
"postal_code": "599013128",
"telephone_number": "406-751-8009",
"fax_number": "406-257-6436"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WENSEL",
"first_name": "KILEY",
"credential": "CNM",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-11-14",
"last_updated": "2021-10-28",
"certification_date": "2021-10-28",
"status": "A"
},
"taxonomies": [
{
"code": "367A00000X",
"taxonomy_group": "",
"desc": "Advanced Practice Midwife",
"state": "MT",
"license": "146219",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "DEPTLHRevlntegrityHIMTechs@logan.org",
"affiliation": "Y",
"affiliationName": "Kalispell Regional Medical Center, Inc",
"address_1": "210 Sunnyview Ln Ste 101",
"city": "Kalispell",
"state": "MT",
"country_code": "US",
"postal_code": "599013128",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 Oct 28, 2021; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.