Individual provider Active NPI

Alyson Raph, FNP

  • Family Nurse Practitioner
  • Shelby, MT
National Provider Identifier
1831715994
Registry record updated Aug 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
240392 Issued in MT
Practice address
1950 W Roosevelt Hwy
Shelby, MT 59474-1549
Phone
(406) 434-3100
Fax
(406) 434-3143
NPI assigned
Jun 24, 2020
Last updated
Aug 5, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 240392 MT Primary
Student in an Organized Health Care Education/Training Program 390200000X MT

Addresses

Primary practice location

1950 W Roosevelt Hwy
Shelby, MT 59474-1549

Mailing address

1 Anna Pearl Sherrick Hal
Bozeman, MT 59715
Phone (406) 994-3597

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240816003195 MT Order and Referring Only - Nurse Practitioner 4385182625

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
240392MTMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Marias Healthcare Services Inc PastSince May 7, 2024 Accepting new patients
Marias Healthcare Services Inc Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: alyson.raphfnp.p1@direct.mhsi.nextgenshare.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, 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": "1592956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722816000000",
    "number": "1831715994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 ANNA PEARL SHERRICK HAL",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "59715",
            "telephone_number": "406-994-3597"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1950 W ROOSEVELT HWY",
            "city": "SHELBY",
            "state": "MT",
            "postal_code": "594741549",
            "telephone_number": "406-434-3100",
            "fax_number": "406-434-3143"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAPH",
        "first_name": "ALYSON",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-24",
        "last_updated": "2024-08-05",
        "certification_date": "2024-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MT",
            "license": "240392",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "MT",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shelby, MT

Sources for this page

Verify at the official NPI Registry.