Jill Dee Buck, MSN, PMHNP-BC
Individual provider Active NPI Psychiatric/Mental Health Nurse Practitioner · Anaconda, MT
NPI 1720711567 · NPPES record last updated Jul 8, 2022
Key facts
- NPI
- 1720711567
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner 363LP0808X
- License
- NUR-APRN-LIC-196243 (MT)
- Practice address
- 606 E Park Ave
Anaconda, MT 59711-2469 - Phone
- (406) 563-7962
- NPI assigned
- Jul 8, 2022
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 3
Hospital & facility affiliations 9
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Aware Inc
Practice addresses (Care Compare)
205 E Park Ave
Anaconda, MT 59711-2340
Phone (406) 563-8117
Hospital & facility affiliations
- St James Hospital
- Community Hospital of Anaconda
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MT
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20221006003404 | MT | Practitioner - Nurse Practitioner | 7517343023 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Master of Science - Nursing, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| NUR-APRN-LIC-196243 | MT | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northwest Ehr Collaborative Inc. | Current |
Accepting new patients | |
| Aware Inc | Current |
Accepting new patients | |
| Reiter Foundation | Past |
Accepting new patients |
Locations
205 E Park Ave
Anaconda, MT 59711
Phone (406) 563-8117
606 E Park Ave
Anaconda, MT 59711
Phone (406) 563-7962
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | NUR-APRN-LIC-196243 | MT | Yes |
Addresses
Primary practice location
606 E Park Ave
Anaconda, MT 59711-2469
Mailing address
713 Stewart St
Anaconda, MT 59711-9330
Phone (406) 560-9101
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | mrpalmer@reiterfoundation.org | Direct |
Other providers in Anaconda, MT
- Diane Black
- Alyssa Brooke Bouley
- Rachel Bradford
- Brian M. Bradley
- Katelyn Rose Briggs
- Lisa Dee Buffington
- Katherine Bugni
- Mary Ellen Burton
- Butte Silver Bow Primary Health Care Clinic Inc
- Carly Hillenbrand Aprn
All providers in Anaconda, MT · Psychiatric/Mental Health Nurse Practitioner in Montana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.