Individual provider Active NPI

Sarah Monzella Pack, MBA, MSN, FNP-BC

  • Family Nurse Practitioner
  • Great Falls, MT
National Provider Identifier
1841853876
Registry record updated Mar 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
178107 Issued in MT
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

Updated by the provider on Mar 22, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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, NM2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20220104001351 MT Practitioner - Nurse Practitioner 9537550421 Reassigns benefits to 2 organizations
I20240815002544 NM Practitioner - Nurse Practitioner 9537550421 Reassigns benefits to 2 organizations

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
Southwest Medical Associates, LLCGroup PAC ID 7214831114, 326 clinicians

Practice addresses (Care Compare)

6701 Jefferson St NE
Albuquerque, NM 87109-4318
Phone (505) 727-6200

Hospital & facility affiliations

  • Lovelace Westside Hospital Hospital, Albuquerque, NM, CCN 320074

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Business Administration, Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
178107MTMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Specialty Care Clinic LLC CurrentSince Jul 1, 2024 Accepting new patients
Southwest Medical Associates, LLC CurrentSince Nov 1, 2024 Accepting new patients
Great Falls Clinic LLC CurrentSince Jan 1, 2022 Accepting new patients
Southwest Medical Associates, LLC CurrentSince Nov 1, 2024 Accepting new patients
J Flair Wellness Family CurrentSince Apr 1, 2023 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

  • Direct secure messaging: spack1138340@ahs.direct-ci.com
  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/
  • FHIR API: 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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.