Active NPI
Lauren Sarah Wilson, M.D.
- Pediatrics Physician
- Missoula, MT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- MED-PHYS-LIC-42164
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0600003515 | VT | MD | Pediatrics Physician |
| 60217701 | WA | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Providence Health & Services Mt | Pediatrics | Current | Accepting new patients |
| Billings Clinic | Current | Accepting new patients | |
| Bozeman Health Deaconess Hospital | Current | Accepting new patients | |
| Billings Clinic | Current | Accepting new patients | |
| Bozeman Health Deaconess Hospital | Pediatrics | Current | Accepting new patients |
| Bozeman Health Deaconess Hospital | Current | Accepting new patients | |
| Providence Health & Services Mt | Current | Accepting new patients | |
| RCHP Billings - Missoula LLC | Current | Accepting new patients | |
| RCHP Billings - Missoula LLC | Current | Accepting new patients | |
| Billings Clinic | Current | Accepting new patients | |
| Providence Health & Services Mt | Pediatrics | Current | 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
- 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.
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-
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- General Practice Physician
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- NPI 1376598714
-
- Durable Medical Equipment & Medical Supplies
- Bozeman, MT
- NPI 1013733955
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- Missoula, MT
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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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2025; 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.