Individual provider Active NPI

Emma Anne Jackson, PA-C

  • Medical Physician Assistant
  • Billings, MT
National Provider Identifier
1770199325
Registry record updated Jun 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
Practice address
801 N 29TH St
Billings, MT 59101-0905
Phone
(406) 238-2500
NPI assigned
Sep 18, 2020
Last updated
Jun 9, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X Primary

Addresses

Primary practice location

801 N 29TH St
Billings, MT 59101-0905

Mailing address

2243 Darcy LN
Billings, MT 59102-2035
Phone (425) 233-2803

Other practice location 1

3572 Hesper Rd
Billings, MT 59102-6891
Phone (406) 413-6200

Other names 1

  • Emma Anne Hannigan Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MT, ND, WY3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20201022000984 MT Practitioner - Physician Assistant 2961822457 Reassigns benefits to 3 organizations
I20210819002261 ND Practitioner - Physician Assistant 2961822457 Reassigns benefits to 1 organization
I20221014002087 WY Practitioner - Physician Assistant 2961822457 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Billings ClinicGroup PAC ID 6002993516, 814 clinicians

Practice addresses (Care Compare)

2800 10TH Ave N
Billings, MT 59101-0703
Phone (406) 657-4000

320 Alpenglow LN
Livingston, MT 59047-8506
Phone (406) 222-3541

3901 Wellness Way
Bozeman, MT 59718-2402
Phone (406) 898-1200

3905 Wellness Way
Bozeman, MT 59718-2402
Phone (406) 898-1200

801 N 29TH St
Billings, MT 59101-0905
Phone (406) 238-2500

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Billings Clinic CurrentSince Aug 9, 2021 Accepting new patients
Glendive Medical Center, Inc CurrentSince Aug 26, 2021 Accepting new patients
Glendive Medical Center, Inc CurrentSince Aug 26, 2021 Accepting new patients
Glendive Medical Center, Inc CurrentSince Aug 26, 2021 Accepting new patients
Billings Clinic Current Accepting new patients
Billings Clinic CurrentSince Jul 12, 2022 Accepting new patients
Billings Clinic CurrentSince Jul 21, 2021 Accepting new patients
Glendive Medical Center, Inc Past Accepting new patients
Frances Mahon Deaconess Hospital Past Accepting new patients

Locations

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

3572 Hesper Rd
Billings, MT 59102
Phone (270) 692-3161

801 N 29th St
Billings, MT 59101
Phone (406) 238-2210

202 Prospect Dr
Glendive, MT 59330
Phone (406) 345-3306

1301 15th Ave W
Williston, ND 58801
Phone (701) 774-7400

707 Sheridan Ave
Cody, WY 82414
Phone (307) 527-7561

Interoperability endpoints

  • Direct secure messaging: ejackson3@billingsclinic.cernerdirect.com

Organizations & group practices 12

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.

Hospital & facility affiliations 14

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1600387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623196800000",
    "number": "1770199325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2243 DARCY LN",
            "city": "BILLINGS",
            "state": "MT",
            "postal_code": "591022035",
            "telephone_number": "425-233-2803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 N 29TH ST",
            "city": "BILLINGS",
            "state": "MT",
            "postal_code": "591010905",
            "telephone_number": "406-238-2500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3572 Hesper Rd",
            "address_purpose": "LOCATION",
            "city": "Billings",
            "state": "MT",
            "postal_code": "591026891",
            "country_code": "US",
            "telephone_number": "406-413-6200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "EMMA",
        "middle_name": "ANNE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-18",
        "last_updated": "2021-06-09",
        "certification_date": "2021-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EMMA",
            "last_name": "HANNIGAN",
            "middle_name": "ANNE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Billings, MT

Sources for this page

Verify at the official NPI Registry.