Amy Michele Enterline Consson, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

MED-PHYS-LIC-87487 Issued in MT

Practice address

62 Tillyfour Rd
Bozeman, MT 59718-9666

Phone

(406) 414-0020

Fax

(888) 289-4505

NPI assigned

Jun 6, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Dec 26, 2023 through Dec 26, 2027

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• The Matriarch Clinic

  • Internal Medicine Physician
  • Bozeman, MT
  • NPI 1366200206
  NPD Authorized official
• Frances Mahon Deaconess Hospital

  • Critical Access Hospital
  • Glasgow, MT
  • NPI 1689685323
  NPD (past)

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

{
    "created_epoch": "1402012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709683200000",
    "number": "1851704936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2975 MAX AVE # 1187",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597187143",
            "telephone_number": "406-414-0020",
            "fax_number": "888-289-4505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "62 TILLYFOUR RD",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597189666",
            "telephone_number": "406-414-0020",
            "fax_number": "888-289-4505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONSSON",
        "first_name": "AMY",
        "middle_name": "MICHELE ENTERLINE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-06",
        "last_updated": "2024-03-06",
        "certification_date": "2024-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MT",
            "license": "MED-PHYS-LIC-87487",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Connections Medical of Mt PLLC
• Connectionsmt, LLC
• Melinda Connelly, OT
• Cheri Conner, MD
• Justin Connor
• Construction Management Services Co
• Diane Elizabeth Conti, LCPC
• Conveniencecare Clinic
• Katie Cook-Bretson
• Carly Cook

• Internal Medicine Physician in Bozeman, MT
• Providers in Bozeman, MT by specialty
• Internal Medicine Physician in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2024; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.