Deni Mayliz Fitzpatrick
Individual provider Active NPI Psychiatric/Mental Health Nurse Practitioner · Great Falls, MT
NPI 1760008940 · NPPES record last updated Mar 11, 2025
Key facts
- NPI
- 1760008940
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner 363LP0808X
- License
- 177220 (MT)
- Practice address
- 617 10TH Ave S
Great Falls, MT 59405-4048 - Phone
- (877) 522-1275
- NPI assigned
- Jun 23, 2020
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 5
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Ideal Telemedicine Services LLC
Ideal Option PLLC
Practice addresses (Care Compare)
615 W Main St
Cut Bank, MT 59427-2802
Phone (877) 522-1275
8508 W Gage Blvd
Suite A101
Kennewick, WA 99336-8106
Phone 50957093022123
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in MT, WA
- 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 |
|---|---|---|---|---|
| I20220713003476 | MT | Practitioner - Nurse Practitioner | 7315337474 | Reassigns benefits to 2 organizations |
| I20230614002211 | WA | Practitioner - Nurse Practitioner | 7315337474 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Master of Arts, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 177220 | MT | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ideal Option, PLLC | Current | Accepting new patients | |
| Ideal Option, PLLC | Current |
Accepting new patients | |
| Ideal Option, PLLC | Current | Accepting new patients | |
| Ideal Telemedicine Services, LLC | Current |
Accepting new patients | |
| Ideal Telemedicine Services, LLC | Past | Accepting new patients |
Locations (25 of 41)
1523 Wyoming Ave
Billings, MT 59102
Phone (406) 248-3175
1532 Ellis St
Ste 104
Bozeman, MT 59715
Phone (406) 581-3381
834 S Montana St
Butte, MT 59701
Phone (406) 723-0123
615 W Main St
Cut Bank, MT 59427
Phone (406) 872-2024
74 4th St N
Glasgow, MT 59230
617 10th Ave S
Great Falls, MT 59405
Phone (406) 727-9330
301 Saddle Dr
Ste G
Helena, MT 59601
Phone (406) 422-5905
1205 S Main St
Kalispell, MT 59901
2685 Palmer St
Ste D
Missoula, MT 59808
Phone (406) 327-4349
158 W Olive St
Newport, OR 97365
Phone (541) 248-2634
16410 Smokey Point Blvd
Ste 101
Arlington, WA 98223
Phone (360) 653-8711
1811 Howard Rd
Ste 101
Auburn, WA 98002
1215 120th Ave NE
Ste 201
Bellevue, WA 98005
Phone (425) 248-4200
3800 Byron Ave
Ste 122
Bellingham, WA 98229
3800 Byron Ave
Ste 116
Bellingham, WA 98229
Phone (509) 416-0253
667 Grant Rd
Ste 3
East Wenatchee, WA 98802
Phone (509) 860-6530
7315 212th St SW
Ste 201
Edmonds, WA 98026
Phone (425) 778-8116
4301 Hoyt Ave
Everett, WA 98203
Phone (425) 317-8025
8514 W Gage Blvd
Ste G
Kennewick, WA 99336
Phone 50922212756
8508 W Gage Blvd
Ste A101
Kennewick, WA 99336
Phone 8775221275 ext. 3049
1146 14th Ave
Longview, WA 98632
1617 Grove St
Marysville, WA 98270
Phone (360) 356-6533
101 E Main St
Ste 201
Monroe, WA 98272
Phone (360) 863-0642
1520 Parker Way
Mount Vernon, WA 98273
1800 Cooper Point Rd SW
Ste 4
Olympia, WA 98502
Phone 87752212783049
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 177220 | MT | Yes |
Addresses
Primary practice location
617 10TH Ave S
Great Falls, MT 59405-4048
Mailing address
500 SW 7TH St Ste A205
Renton, WA 98057-2983
Phone (509) 222-1275
Other providers in Great Falls, MT
- Jenna Colette Finkel
- First Impressions Denture Clinic LLC
- Corin Jacklyn Fisch
- Bruce D Fisher
- Terra Fisk
- Julia Marie Fitzpatrick
- Erin Flaherty
- Aaron Michael Flanagan
- Brandi Lynn Fleming
- Kayla Flesch
All providers in Great Falls, 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 Mar 11, 2025. 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.