Active NPI
Carolyn J Jones, APRN
- Adult Health Nurse Practitioner
- Missoula, MT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- NUR-APRN-LIC-100490
- Practice address
- 500 W Broadway St
Missoula, MT 59802-4008 - Phone
- (406) 329-5615
- Fax
- (406) 329-5606
- NPI assigned
- Aug 12, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | NUR-APRN-LIC-100490 | MT | Primary |
| Nurse Practitioner | 363L00000X | 27917 | MT |
Addresses
Primary practice location
500 W Broadway St
Missoula, MT 59802-4008
Mailing address
PO Box 12
Liberty Lake, WA 99019-0012
Phone (406) 329-5615
Other practice location 1
2827 Fort Missoula Rd
Missoula, MT 59804-7408
Phone (406) 728-4100
Other names 1
- Carolyn J Bellamah
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | cbellamah140799@wm.providencedirect.org | 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
500 W Broadway St
Missoula, MT 59802-4003
500 W Broadway St
Missoula, MT 59802-4096
500 W Broadway St 3Rd FL
Missoula, MT 59802-4096
Hospital & facility affiliations
- St. Patrick Hospital
- St Peters Health
- Steele Memorial Medical Center
- Community Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 27917 | MT | MD | Nurse Practitioner |
| NUR-APRN-LIC-100490 | MT | MD | Adult Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Providence Health & Services Mt | Nurse Practitioner | Current | Accepting new patients |
| Providence Health & Services Mt | Current | Accepting new patients | |
| St Patrick Hosp and Health Sci Ctr | Current | Accepting new patients |
Locations
500 W Broadway St
Ste 320
Missoula, MT 59802
Phone (406) 329-2945
2827 Fort Missoula Rd
Missoula, MT 59804
Phone (406) 327-4202
500 W Broadway St
Missoula, MT 59802
Phone (406) 327-1918
Interoperability endpoints
- cbellamah140799@wm.providencedirect.org
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.
-
- Rehabilitation Hospital Unit
- Missoula, MT
- NPI 1144319138
-
- Family Medicine Physician
- Missoula, MT
- NPI 1215222617
Nurse Practitioner
-
- Cardiovascular Disease Physician
- St. Ignatius, MT
- NPI 1073770525
Hospital & facility affiliations 10
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Missoula, MT
- NPI 1023032588
-
- Anatomic Pathology & Clinical Pathology Physician
- Missoula, MT
- NPI 1366185928
Hospital
-
- Psychiatric Hospital Unit
- Missoula, MT
- NPI 1619058302
-
- General Acute Care Hospital
- Missoula, MT
- NPI 1346642899
-
- General Acute Care Hospital
- Helena, MT
- NPI 1528023520
-
- Critical Access Hospital
- Salmon, ID
- NPI 1851403265
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155340800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1706486400000",
"number": "1720090400",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 12",
"city": "LIBERTY LAKE",
"state": "WA",
"postal_code": "990190012",
"telephone_number": "406-329-5615"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 W BROADWAY ST",
"city": "MISSOULA",
"state": "MT",
"postal_code": "598024008",
"telephone_number": "406-329-5615",
"fax_number": "406-329-5606"
}
],
"practiceLocations": [
{
"address_1": "2827 Fort Missoula Rd",
"address_purpose": "LOCATION",
"city": "Missoula",
"state": "MT",
"postal_code": "598047408",
"country_code": "US",
"telephone_number": "406-728-4100",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JONES",
"first_name": "CAROLYN",
"middle_name": "J",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-12",
"last_updated": "2024-01-29",
"certification_date": "2024-01-29",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "MT",
"license": "NUR-APRN-LIC-100490",
"primary": true
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "MT",
"license": "27917",
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "cbellamah140799@wm.providencedirect.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "500 W Broadway St",
"city": "Missoula",
"state": "MT",
"country_code": "US",
"postal_code": "598024008",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "CAROLYN",
"last_name": "BELLAMAH",
"middle_name": "J",
"credential": "APRN",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Missoula, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 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.