Active NPI
Sandra J Richardson, NP
- Obstetrics & Gynecology Nurse Practitioner
- Missoula, MT
National Provider Identifier
1801560552
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Nurse Practitioner
- License
- 177829
- Practice address
- 500 W Broadway St
Missoula, MT 59802-4008 - Phone
- (406) 721-5600
- Fax
- (406) 329-7103
- NPI assigned
- Aug 5, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 21687 | MT | |
| Obstetrics & Gynecology Nurse Practitioner | 363LX0001X | 177829 | MT | Primary |
Addresses
Primary practice location
500 W Broadway St
Missoula, MT 59802-4008
Mailing address
PO Box 7609
Missoula, MT 59807-7609
Phone (406) 721-5600
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | srichardson303955@wm.providencedirect.org | Direct |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
500 W Broadway St
Missoula, MT 59802-4008
Phone (406) 721-5600
Hospital & facility affiliations
- St. Patrick Hospital
- St Peters Health
Merit-based Incentive Payment System (MIPS)
- Final score
- 82.1 of 100
- Quality
- 86.66
- Promoting interoperability
- 77
- Improvement activities
- 40
- Cost
- 72.83
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 21687 | MT | MD | Registered Nurse |
| 177829 | MT | MD | Obstetrics & Gynecology Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Western Montana Clinic PC | Current | Accepting new patients | |
| Western Montana Clinic PC | Current | Accepting new patients |
Locations
500 W Broadway St
Missoula, MT 59802
Phone (406) 327-1918
2835 Fort Missoula Rd
Missoula, MT 59804
Phone (406) 542-0391
Interoperability endpoints
- srichardson303955@wm.providencedirect.org
Organizations & group practices 2
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.
-
- Multi-Specialty Clinic/Center
- Missoula, MT
- NPI 1942253182
-
- Clinical Medical Laboratory
- Missoula, MT
- NPI 1740364017
Hospital & facility affiliations 8
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Missoula, MT
- NPI 1023032588
-
- Anatomic Pathology & Clinical Pathology Physician
- Missoula, MT
- NPI 1366185928
Hospital
-
- Psychiatric Hospital Unit
- Missoula, MT
- NPI 1619058302
-
- General Acute Care Hospital
- Helena, MT
- NPI 1528023520
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1628121600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1647907200000",
"number": "1801560552",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 7609",
"city": "MISSOULA",
"state": "MT",
"postal_code": "598077609",
"telephone_number": "406-721-5600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 W BROADWAY ST",
"city": "MISSOULA",
"state": "MT",
"postal_code": "598024008",
"telephone_number": "406-721-5600",
"fax_number": "406-329-7103"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RICHARDSON",
"first_name": "SANDRA",
"middle_name": "J",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-08-05",
"last_updated": "2022-03-22",
"certification_date": "2022-03-22",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "MT",
"license": "21687",
"primary": false
},
{
"code": "363LX0001X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Obstetrics & Gynecology",
"state": "MT",
"license": "177829",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "srichardson303955@wm.providencedirect.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "500 W Broadway St",
"city": "Missoula",
"state": "MT",
"country_code": "US",
"postal_code": "598024008",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Missoula, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2022; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.