Erin Marie Pence, CNM, RN

Primary specialty

Advanced Practice MidwifeTaxonomy code 367A00000X

Practice address

2831 Fort Missoula Rd Ste 232
Missoula, MT 59804-7479

Phone

(406) 523-5650

NPI assigned

Feb 9, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Midwife, Registered Nurse

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: erin.pence.1@21046.direct.athenahealth.com
• FHIR API: https://api.platform.athenahealth.com/21046/brand/1/csg/1/fhir/r4

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.

• Origin Health LLC

  • Maternal & Fetal Medicine Physician
  • Missoula, MT
  • NPI 1841835113
  Medicare reassignment NPD
• RCHP Billings - Missoula LLC

  dba Community Medical Center

  • General Acute Care Hospital
  • Missoula, MT
  • NPI 1346642899
  NPD (past)

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

{
    "created_epoch": "1612828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614729600000",
    "number": "1730771965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2831 FORT MISSOULA RD STE 232",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598047479",
            "telephone_number": "406-523-5650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2831 FORT MISSOULA RD STE 232",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598047479",
            "telephone_number": "406-523-5650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENCE",
        "first_name": "ERIN",
        "middle_name": "MARIE",
        "credential": "CNM, RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-09",
        "last_updated": "2021-03-03",
        "certification_date": "2021-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "163WX0003X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Obstetric, Inpatient",
            "state": "MT",
            "license": "NUR-RN-LIC-152526",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MONTANA BOARD OF NURSING",
            "identifier": "NUR-RN-LIC-152526",
            "state": "MT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MONTANA BOARD OF NURSING",
            "identifier": "NUR-APRN-LIC-174173",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Peds Teletherapy
• Alexandra Kathleen Peel, SWLC
• Erin Pelham, LCSW
• Angela Krystal Pell
• Michael Peluso, M.S., L.AC., DIPL.AC
• Marisa Peot, PHYSICIAN ASSISTANT
• Charleen Ann Peppenger, LCSW
• Alison Pepper, PHD, LPCC
• Ashley Pepper
• Perio PLLC

• Advanced Practice Midwife in Missoula, MT
• Providers in Missoula, MT by specialty
• Advanced Practice Midwife in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 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.

Verify at the official NPI Registry.