Erin Elaine Neibauer, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

APN20957 Issued in MT

Practice address

1010 South 7650 East Crow
Northern Cheyenne Indian Hosp
Crow Agency, MT 59022

Phone

(406) 638-3558

Fax

(406) 638-3482

NPI assigned

Feb 18, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Erin Elaine Mullenberg Former name

Medicare fee-for-service enrollment

Enrolled in TX

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• US Health Dept of Health & Human Services

  • Rural Health Clinic/Center
  • Poplar, MT
  • NPI 1972694602

  TX

  Medicare reassignment NPD
• U S Health Dept of Health & Human Services

  dba Lodge Grass Clinic

  • Critical Access Hospital
  • Lodge Grass, MT
  • NPI 1750410395
  NPD
• US Health Dept of Health & Human Services

  dba Crow/Northern Cheyenne Hospital

  • Critical Access Hospital
  • Crow Agency, MT
  • NPI 1548393358
  NPD

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

{
    "created_epoch": "1234915200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1234915200000",
    "number": "1760621544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9",
            "address_2": "CROW/NORTHERN CHEYENNE IHS HOSPITAL",
            "city": "CROW AGENCY",
            "state": "MT",
            "postal_code": "590220009",
            "telephone_number": "406-638-3558",
            "fax_number": "406-638-3482"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 SOUTH 7650 EAST CROW",
            "address_2": "NORTHERN CHEYENNE INDIAN HOSP",
            "city": "CROW AGENCY",
            "state": "MT",
            "postal_code": "59022",
            "telephone_number": "406-638-3558",
            "fax_number": "406-638-3482"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEIBAUER",
        "first_name": "ERIN",
        "middle_name": "ELAINE",
        "name_prefix": "Ms.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-02-18",
        "last_updated": "2009-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MT",
            "license": "APN20957",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ERIN",
            "last_name": "MULLENBERG",
            "middle_name": "ELAINE",
            "credential": "FNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Sandra Kay Montgomery, SANDRA MONTGOMERY
• Deidra E Mountain Sheep, RN
• Geraldine Bernice Mournian, M.D.
• Nathan A Moyer, RN
• Carey Gavin Nazworth
• Austin Cuong Ngo
• Priscilla Ngo, PHARMD
• Barbara Jeanne O'Hare, RN BSN
• Edwina Mae Old Coyote, RN
• Arna Georgette Old Crow

• Family Nurse Practitioner in Crow Agency, MT
• Providers in Crow Agency, MT by specialty
• Family Nurse Practitioner in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2009; 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.