Individual provider Active NPI

Lauren Sarah Wilson, M.D.

  • Pediatrics Physician
  • Missoula, MT
National Provider Identifier
1740308428
Registry record updated Jul 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
MED-PHYS-LIC-42164 Issued in MT
Practice address
2827 Fort Missoula Rd
Pediatrics
Missoula, MT 59804-7408
Phone
(406) 728-4100
NPI assigned
Mar 27, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Pediatrics Physician 208000000X 60217701 WA
Pediatrics Physician 208000000X MED-PHYS-LIC-42164 MT Primary
Pediatrics Physician 208000000X 0600003515 VT

Addresses

Primary practice location

2827 Fort Missoula Rd
Pediatrics
Missoula, MT 59804-7408

Mailing address

2827 Fort Missoula Rd
Pediatrics
Missoula, MT 59804-7408
Phone (406) 728-4100

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151124001646 MT Practitioner - Pediatric Medicine 0547394918 Reassigns benefits to 4 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
0600003515VTMDPediatrics Physician
60217701WAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Providence Health & Services Mt Pediatrics CurrentSince Jan 1, 2016 Accepting new patients
Billings Clinic Current Accepting new patients
Bozeman Health Deaconess Hospital CurrentSince Aug 1, 2025 Accepting new patients
Billings Clinic CurrentSince Aug 15, 2023 Accepting new patients
Bozeman Health Deaconess Hospital Pediatrics Current Accepting new patients
Bozeman Health Deaconess Hospital CurrentSince Aug 1, 2025 Accepting new patients
Providence Health & Services Mt Current Accepting new patients
RCHP Billings - Missoula LLC Current Accepting new patients
RCHP Billings - Missoula LLC CurrentSince Jan 1, 2016 Accepting new patients
Billings Clinic CurrentSince Aug 15, 2023 Accepting new patients
Providence Health & Services Mt Pediatrics CurrentSince Jan 1, 2016 Accepting new patients
RCHP Billings - Missoula LLC Current Accepting new patients
Providence Health & Services Mt Past Accepting new patients

Locations

2800 10th Ave N
Billings, MT 59101
Phone (406) 248-3290

935 Highland Blvd
Ste 2200
Bozeman, MT 59715
Phone (406) 219-3311

937 Highland Blvd
Bozeman, MT 59715
Phone (406) 414-2400

925 Highland Blvd
Ste 1220
Bozeman, MT 59715
Phone (406) 414-3780

915 Highland Blvd
Bozeman, MT 59715
Phone (406) 414-1720

500 W Broadway St
Missoula, MT 59802
Phone (406) 327-1918

2230 N Reserve St
Ste 402
Missoula, MT 59808
Phone (406) 327-3850

2230 N Reserve St
Missoula, MT 59808
Phone (406) 721-0533

500 W Broadway St
Ste 320
Missoula, MT 59802
Phone (406) 329-2945

2827 Fort Missoula Rd
Missoula, MT 59804
Phone (406) 327-4202

Interoperability endpoints

  • Direct secure messaging: lwilson@direct.communitymed.org

Organizations & group practices 13

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.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1174953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752451200000",
    "number": "1740308428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2827 FORT MISSOULA RD",
            "address_2": "PEDIATRICS",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598047408",
            "telephone_number": "406-728-4100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2827 FORT MISSOULA RD",
            "address_2": "PEDIATRICS",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598047408",
            "telephone_number": "406-728-4100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "LAUREN",
        "middle_name": "SARAH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-27",
        "last_updated": "2025-07-14",
        "certification_date": "2025-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "WA",
            "license": "60217701",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MT",
            "license": "MED-PHYS-LIC-42164",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "VT",
            "license": "0600003515",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Missoula, MT

Sources for this page

Verify at the official NPI Registry.