Jesse Brockie, FNP-C
Individual provider Active NPI Family Nurse Practitioner · Malta, MT
NPI 1801339494 · NPPES record last updated Apr 2, 2025
Key facts
- NPI
- 1801339494
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 217174 (MT)
- Practice address
- 311 S 8TH Ave E
Malta, MT 59538-8978 - Phone
- (406) 654-1800
- Fax
- (406) 654-1700
- NPI assigned
- Nov 30, 2016
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 5
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Phillips County Hospital Assn
Practice addresses (Care Compare)
311 S 8TH Ave E
Malta, MT 59538-8978
Phone (406) 654-1100
Hospital & facility affiliations
- Phillips County Hospital - Cah
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MT
- 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 |
|---|---|---|---|---|
| I20240304003695 | MT | Practitioner - Nurse Practitioner | 5294170973 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 217174 | MT | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Phillips County Hospital Assn | Current |
Accepting new patients | |
| Frances Mahon Deaconess Hospital | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 217174 | MT | Yes |
Addresses
Primary practice location
311 S 8TH Ave E
Malta, MT 59538-8978
Mailing address
311 S 8TH Ave E
Malta, MT 59538-8978
Phone (406) 654-1800
Other providers in Malta, MT
- Active Solutions Physical Therapy, L.L.C
- Roger K Amundson
- Sterling James Beck
- Care Planning Institute, Inc
- Country Home
- Megan Davis
- Jessica Marie Domire
- Fallon Handley
All providers in Malta, MT · Family 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 Apr 2, 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.