Active NPI
Marcie Renee Lovgren, PA
- Surgical Physician Assistant
- Bozeman, MT
National Provider Identifier
1811182769
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Physician Assistant
- License
- 509
- Practice address
- 1450 Ellis St
Suite 201
Bozeman, MT 59715-8812 - Phone
- (406) 587-0122
- NPI assigned
- Sep 12, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Physician Assistant | 363AS0400X | 509 | MT | Primary |
Addresses
Primary practice location
1450 Ellis St
Suite 201
Bozeman, MT 59715-8812
Mailing address
1450 Ellis St
Suite 201
Bozeman, MT 59715-8812
Phone (406) 587-0122
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 509 | Other | MT | MT LICENSE NUMBER |
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
- Physician Assistant
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1450 Ellis St
Suite 201
Bozeman, MT 59715-8813
Phone (406) 587-0122
3400 Laramie Dr
Bozeman, MT 59718-2005
Phone (406) 587-0122
Hospital & facility affiliations
- Bozeman Health Deaconess Hospital
- Livingston Healthcare
- Madison Valley Medical Center
- Ruby Valley Medical Center
- Bozeman Health Big Sky Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 80.93 of 100
- Quality
- 60.05
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 76.39
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 509 | MT | MD | Surgical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Frances Mahon Deaconess Hospital | Past | Accepting new patients |
Interoperability endpoints
- marcie.lovgren.1@12906.direct.athenahealth.com
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.
-
- Orthopaedic Surgery Physician
- Bozeman, MT
- NPI 1750310926
-
- Critical Access Hospital
- Glasgow, MT
- NPI 1689685323
Hospital & facility affiliations 8
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Big Sky, MT
- NPI 1588141048
-
- General Acute Care Hospital
- Bozeman, MT
- NPI 1104295864
-
- Critical Access Hospital
- Livingston, MT
- NPI 1245222306
-
- Critical Access Hospital
- Ennis, MT
- NPI 1740223882
-
- Critical Access Hospital
- Sheridan, MT
- NPI 1083710651
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1189555200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1189555200000",
"number": "1811182769",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1450 ELLIS ST",
"address_2": "SUITE 201",
"city": "BOZEMAN",
"state": "MT",
"postal_code": "597158812",
"telephone_number": "406-587-0122"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1450 ELLIS ST",
"address_2": "SUITE 201",
"city": "BOZEMAN",
"state": "MT",
"postal_code": "597158812",
"telephone_number": "406-587-0122"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOVGREN",
"first_name": "MARCIE",
"middle_name": "RENEE",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-09-12",
"last_updated": "2007-09-12",
"status": "A"
},
"taxonomies": [
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "MT",
"license": "509",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MT LICENSE NUMBER",
"identifier": "509",
"state": "MT"
}
],
"endpoints": [],
"other_names": []
}Other providers in Bozeman, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2007; 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.