Individual provider Active NPI

Megan Rhae Shoultz, DC

  • Chiropractor
  • Bigfork, MT
National Provider Identifier
1821587148
Registry record updated Jun 7, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CHI-CHI-LIC-5071 Issued in MT
Practice address
216 Sherman LN
Bigfork, MT 59911
Phone
(406) 270-5396
NPI assigned
May 2, 2018
Last updated
Jun 7, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CHI-CHI-LIC-5071 MT Primary

Addresses

Primary practice location

216 Sherman LN
Bigfork, MT 59911

Mailing address

216 Sherman LN
Bigfork, MT 59911-6057
Phone (406) 270-5396

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181026001136 MT Practitioner - Chiropractic 9133472855 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

7935 Mt Hwy 35
Suite 205
Bigfork, MT 59911-5711
Phone (406) 420-2811

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CHI-CHI-LIC-5071MTMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Treasure State Chiropractic PC Chiropractor CurrentSince May 2, 2018 Accepting new patients

Locations

7935 MT Highway 35
Ste 201
Bigfork, MT 59911
Phone (406) 837-4357

7935 MT Highway 35
Ste 205
Bigfork, MT 59911
Phone (406) 420-2811

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1525219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528329600000",
    "number": "1821587148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "216 SHERMAN LN",
            "city": "BIGFORK",
            "state": "MT",
            "postal_code": "599116057",
            "telephone_number": "406-270-5396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "216 SHERMAN LN",
            "city": "BIGFORK",
            "state": "MT",
            "postal_code": "59911",
            "telephone_number": "406-270-5396"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHOULTZ",
        "first_name": "MEGAN",
        "middle_name": "RHAE",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-02",
        "last_updated": "2018-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MT",
            "license": "CHI-CHI-LIC-5071",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bigfork, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.