Individual provider Active NPI

Jordan B Teller, MSN

  • Nurse Practitioner
  • Billings, MT
National Provider Identifier
1851603294
Registry record updated May 5, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
34680 Issued in MT
Practice address
2900 12TH Ave N Ste 160W
Billings, MT 59101-7508
Phone
(406) 237-8500
Fax
(406) 237-8501
NPI assigned
Jul 13, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 5, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 34680 MT Primary

Addresses

Primary practice location

2900 12TH Ave N Ste 160W
Billings, MT 59101-7508

Mailing address

2900 12TH Ave N Ste 160W
Billings, MT 59101-7508
Phone (406) 237-8500

Other identifiers 1

IdentifierTypeStateIssuer
34680OtherMTLICENSE

Other names 1

  • Jordan Elaine Bell Former name

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
I20100928001676 MT Practitioner - Nurse Practitioner 7618093501 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2900 12TH Ave N
Suite 400E
Billings, MT 59101-7514
Phone (406) 237-5770

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
34680MTMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
SCL Health Medical Group - Billings LLC CurrentSince Jan 1, 2015 Accepting new patients
SCL Health Medical Group - Billings, LLC CurrentSince Jan 1, 2015 Accepting new patients

Locations

2019 Broadwater Ave
Billings, MT 59102
Phone (406) 237-5200

1041 N 29th St
Billings, MT 59101
Phone (303) 237-5577

2900 12th Ave N
Ste 400E
Billings, MT 59101
Phone (406) 238-6650

2900 12th Ave N
Ste 160W
Billings, MT 59101
Phone (406) 237-7999

16 N Miles Ave
Hardin, MT 59034
Phone (406) 665-2205

Interoperability endpoints

  • Direct secure messaging: jteller36890@direct.intermountainhealth.org

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1278979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1399248000000",
    "number": "1851603294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2900 12TH AVE N STE 160W",
            "city": "BILLINGS",
            "state": "MT",
            "postal_code": "591017508",
            "telephone_number": "406-237-8500",
            "fax_number": "406-237-8501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2900 12TH AVE N STE 160W",
            "city": "BILLINGS",
            "state": "MT",
            "postal_code": "591017508",
            "telephone_number": "406-237-8500",
            "fax_number": "406-237-8501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TELLER",
        "first_name": "JORDAN",
        "middle_name": "B",
        "credential": "MSN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-07-13",
        "last_updated": "2014-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MT",
            "license": "34680",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "34680",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JORDAN",
            "last_name": "BELL",
            "middle_name": "ELAINE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Billings, MT

Sources for this page

Verify at the official NPI Registry.