Active NPI
Jodi Lynn Peterson
- Physician Assistant
- Billings, MT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 43199
- Practice address
- 1101 N 27TH St
Ste 101
Billings, MT 59101-0100 - Phone
- (406) 237-8282
- NPI assigned
- Aug 3, 2015
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 43199 | MT | Primary |
Addresses
Primary practice location
1101 N 27TH St
Ste 101
Billings, MT 59101-0100
Mailing address
1101 N 27TH St
Ste 101
Billings, MT 59101-0100
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, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1233 N 30TH St
Billings, MT 59101-0127
Phone (406) 237-3913
16 N Miles Ave
Suite 101
Hardin, MT 59034-2356
Phone (406) 237-8270
2223 Mission Way
Billings, MT 59102-0160
Phone (406) 237-8282
Hospital & facility affiliations
- Intermountain Health St Vincent Regional Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 43199 | MT | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| SCL Health Montana | Current | Accepting new patients | |
| SCL Health Medical Group - Billings, LLC | Current | Accepting new patients | |
| SCL Health Montana | Current | Accepting new patients | |
| SCL Health Medical Group - Billings LLC | Past | Accepting new patients | |
| Frances Mahon Deaconess Hospital | Past | Accepting new patients | |
| St. Vincent Healthcare | Past | Accepting new patients |
Locations
500 Eldorado Blvd
Ste 4300
Broomfield, CO 80021
1101 N 27th St
Ste 101
Billings, MT 59101
Phone (406) 237-3660
1233 N 30th St
#3
Billings, MT 59101
Phone (406) 237-3850
1233 N 30th St
Billings, MT 59101
Phone (406) 237-3850
16 N Miles Ave
Hardin, MT 59034
Phone (406) 665-2205
Organizations & group practices 8
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.
-
- Clinic/Center
- Billings, MT
- NPI 1508289703
-
- Internal Medicine Physician
- Missoula, MT
- NPI 1053569525
-
- General Acute Care Hospital
- Billings, MT
- NPI 1083655997
-
- Endocrinology, Diabetes & Metabolism Physician
- Billings, MT
- NPI 1003701558
-
- Multi-Specialty Clinic/Center
- Billings, MT
- NPI 1376634162
-
- Multi-Specialty Clinic/Center
- Billings, MT
- NPI 1922039890
-
- Critical Access Hospital
- Glasgow, MT
- NPI 1689685323
-
- Primary Care Clinic/Center
- Billings, MT
- NPI 1043257983
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Billings, MT
- NPI 1083655997
-
- General Acute Care Hospital
- Billings, MT
- NPI 1396916276
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1438560000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1461801600000",
"number": "1831575745",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1101 N 27TH ST",
"address_2": "STE 101",
"city": "BILLINGS",
"state": "MT",
"postal_code": "591010100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1101 N 27TH ST",
"address_2": "STE 101",
"city": "BILLINGS",
"state": "MT",
"postal_code": "591010100",
"telephone_number": "406-237-8282"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PETERSON",
"first_name": "JODI",
"middle_name": "LYNN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-08-03",
"last_updated": "2016-04-28",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "MT",
"license": "43199",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Billings, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2016; 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.