Individual provider Active NPI

Ariel Joy Weishaar, FNP

  • Family Medicine Physician
  • Shelby, MT
National Provider Identifier
1760064232
Registry record updated Apr 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
NUR-APRN-LIC-175087 Issued in MT
Practice address
739 1St St N
Shelby, MT 59474-1813
Phone
(406) 460-0683
NPI assigned
Apr 24, 2021
Last updated
Apr 18, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X NUR-APRN-LIC-175087 MT
Family Medicine Physician 207Q00000X NUR-APRN-LIC-175087 MT Primary

Addresses

Primary practice location

739 1St St N
Shelby, MT 59474-1813

Mailing address

739 1St St N
Shelby, MT 59474-1813
Phone (406) 460-0683

Other practice location 1

640 Park Ave
Shelby, MT 59474-1663
Phone (406) 434-3207

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address krmcmedicalrecords@krhdirect.org Logan Health - Shelby

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230310002483 MT Practitioner - Nurse Practitioner 2668845744 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
NUR-APRN-LIC-175087MTMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Logan Health - Shelby CurrentSince Jan 15, 2024 Accepting new patients
Logan Health - Shelby CurrentSince Jan 15, 2024 Accepting new patients
Marias Healthcare Services Inc Family Medicine Past Accepting new patients

Locations

640 Park Ave
Shelby, MT 59474
Phone (406) 434-3200

Interoperability endpoints

  • Direct secure messaging: krmcmedicalrecords@krhdirect.org

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1619222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744934400000",
    "number": "1760064232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "739 1ST ST N",
            "city": "SHELBY",
            "state": "MT",
            "postal_code": "594741813",
            "telephone_number": "406-460-0683"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "739 1ST ST N",
            "city": "SHELBY",
            "state": "MT",
            "postal_code": "594741813",
            "telephone_number": "406-460-0683"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "640 Park Ave",
            "address_purpose": "LOCATION",
            "city": "Shelby",
            "state": "MT",
            "postal_code": "594741663",
            "country_code": "US",
            "telephone_number": "406-434-3207",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WEISHAAR",
        "first_name": "ARIEL",
        "middle_name": "JOY",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-24",
        "last_updated": "2025-04-18",
        "certification_date": "2025-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MT",
            "license": "NUR-APRN-LIC-175087",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MT",
            "license": "NUR-APRN-LIC-175087",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "krmcmedicalrecords@krhdirect.org",
            "affiliation": "Y",
            "affiliationName": "Logan Health - Shelby",
            "address_1": "640 Park Ave",
            "city": "Shelby",
            "state": "MT",
            "country_code": "US",
            "postal_code": "594741663",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Shelby, MT

Sources for this page

Verify at the official NPI Registry.