Active NPI
Sarah Monzella Pack, MBA, MSN, FNP-BC
- Family Nurse Practitioner
- Great Falls, MT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 178107
- Practice address
- 1415 Northwest Byp Ste 2
Great Falls, MT 59404-1710 - Phone
- (406) 788-6300
- Fax
- (888) 458-1063
- NPI assigned
- Apr 16, 2019
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 178107 | MT | Primary |
Addresses
Primary practice location
1415 Northwest Byp Ste 2
Great Falls, MT 59404-1710
Mailing address
1415 Northwest Byp Ste 2
Great Falls, MT 59404-1710
Phone (406) 788-6300
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MT, NM
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
6701 Jefferson St NE
Albuquerque, NM 87109-4318
Phone (505) 727-6200
Hospital & facility affiliations
- Lovelace Westside Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Business Administration, Master of Science - Nursing, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 178107 | MT | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Specialty Care Clinic LLC | Current | Accepting new patients | |
| Southwest Medical Associates, LLC | Current | Accepting new patients | |
| Great Falls Clinic LLC | Current | Accepting new patients | |
| Southwest Medical Associates, LLC | Current | Accepting new patients | |
| J Flair Wellness | Family | Current | Accepting new patients |
Locations
1415 Northwest Byp
Ste 2
Great Falls, MT 59404
Phone (406) 788-6300
1400 29th St S
Great Falls, MT 59405
Phone (406) 442-3570
2474 Indian Wells Rd
Ste A
Alamogordo, NM 88310
Phone (505) 747-0506
715 Martin Luther King Ave NE
Ste 301
Albuquerque, NM 87102
Phone (505) 727-4500
3825 Eubank Blvd NE
Ste D
Albuquerque, NM 87111
Phone (505) 298-8020
6701 Jefferson St NE
Albuquerque, NM 87109
Phone (505) 727-0600
4101 Indian School Rd NE
Ste 110
Albuquerque, NM 87110
Phone (505) 727-8360
Interoperability endpoints
- spack1138340@ahs.direct-ci.com
- https://fhir.meditouchehr.com/api/fhir/r4/
- https://api.platform.athenahealth.com/25095/brand/1/csg/1/fhir/r4
Organizations & group practices 5
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.
-
- General Practice Physician
- Albuquerque, NM
- NPI 1164491072
-
- Multi-Specialty Clinic/Center
- Great Falls, MT
- NPI 1801897780
-
- Family Nurse Practitioner
- Great Falls, MT
- NPI 1669187563
-
- Family Medicine Physician
- Albuquerque, NM
- NPI 1699517771
-
- Rural Health Clinic/Center
- Roswell, NM
- NPI 1578255253
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Albuquerque, NM
- NPI 1649373887
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1555372800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1679443200000",
"number": "1841853876",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1415 NORTHWEST BYP STE 2",
"city": "GREAT FALLS",
"state": "MT",
"postal_code": "594041710",
"telephone_number": "406-788-6300",
"fax_number": "888-458-1063"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1415 NORTHWEST BYP STE 2",
"city": "GREAT FALLS",
"state": "MT",
"postal_code": "594041710",
"telephone_number": "406-788-6300",
"fax_number": "888-458-1063"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PACK",
"first_name": "SARAH",
"middle_name": "MONZELLA",
"name_prefix": "Mrs.",
"credential": "MBA, MSN, FNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-04-16",
"last_updated": "2023-03-22",
"certification_date": "2023-03-22",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MT",
"license": "178107",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Great Falls, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2023; 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.