Active NPI
Suzanne Wilbrecht, MSN
- Advanced Practice Midwife
- Bozeman, MT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Advanced Practice Midwife
- License
- 272373
- Practice address
- 905 Highland Blvd Ste 4500
Bozeman, MT 59715-6903 - Phone
- (406) 414-5150
- NPI assigned
- Oct 16, 2020
- Last updated
- Jan 13, 2026
- 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 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Nurse Practitioner | 363LX0001X | RN61139099 | WA | |
| Obstetrics & Gynecology Nurse Practitioner | 363LX0001X | 272373 | MT | |
| Advanced Practice Midwife | 367A00000X | N361143735 | WA | |
| Advanced Practice Midwife | 367A00000X | 272373 | MT | Primary |
| Advanced Practice Midwife | 367A00000X | 66117 | ID | |
| Advanced Practice Midwife | 367A00000X | AP61139097 | WA |
Addresses
Primary practice location
905 Highland Blvd Ste 4500
Bozeman, MT 59715-6903
Mailing address
915 Highland Blvd
Bozeman, MT 59715-6902
Phone (406) 414-5000
Other practice location 1
4800 S 1000 E
Victor, ID 83455-5443
Phone (307) 690-5739
Other practice location 2
37 S 2nd E Ste 200
Rexburg, ID 83440-1906
Phone (208) 356-0234
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 66117 | Other | ID | IDAHO STATE BOARD OF NURSING |
| 2174476 | Medicaid | WA |
Other names 1
- Suzanne Moore
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ID, MT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Certified Nurse Midwife (CNM)
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
37 S 2ND
Rexburg, ID 83440-1906
Phone (208) 356-0234
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Midwife, Master of Science - Nursing
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 272373 | MT | MD | Obstetrics & Gynecology Nurse Practitioner |
| 66117 | ID | MD | Advanced Practice Midwife |
| N361143735 | WA | MD | Advanced Practice Midwife |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bozeman Health Deaconess Hospital | Current | Accepting new patients | |
| Madison Co Memorial Hospital | Current | Accepting new patients | |
| Madison Co Memorial Hospital | Current | Accepting new patients | |
| Bozeman Health Deaconess Hospital | Current | Accepting new patients | |
| Madison Co Memorial Hospital | Past | Accepting new patients |
Locations
37 S 2nd E
Rexburg, ID 83440
Phone (208) 356-0234
37 S 2nd E
Ste 200
Rexburg, ID 83440
Phone (208) 356-0234
393 E 2nd N
Rexburg, ID 83440
Phone (208) 356-5401
905 Highland Blvd
Ste 4500
Bozeman, MT 59715
Phone (406) 414-5150
915 Highland Blvd
Bozeman, MT 59715
Phone (406) 414-1720
925 Highland Blvd
Ste 1220
Bozeman, MT 59715
Phone (406) 414-3780
Organizations & group practices 6
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.
-
dba Madison Memorial Rexburg Medical Clinic
- Family Medicine Physician
- Rexburg, ID
- NPI 1134592017
-
- Family Medicine Physician
- Bozeman, MT
- NPI 1619347390
-
- Durable Medical Equipment & Medical Supplies
- Bozeman, MT
- NPI 1013733955
-
- Emergency Medicine Physician
- Bozeman, MT
- NPI 1437529112
-
dba Rigby Medical Center
- Family Medicine Physician
- Rigby, ID
- NPI 1356026280
-
dba Seasons Medical By Madison Memorial
- Obstetrics & Gynecology Physician
- Rexburg, ID
- NPI 1073154266
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1602806400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1768262400000",
"number": "1861090219",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "915 HIGHLAND BLVD",
"city": "BOZEMAN",
"state": "MT",
"postal_code": "597156902",
"telephone_number": "406-414-5000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "905 HIGHLAND BLVD STE 4500",
"city": "BOZEMAN",
"state": "MT",
"postal_code": "597156903",
"telephone_number": "406-414-5150"
}
],
"practiceLocations": [
{
"address_1": "4800 S 1000 E",
"address_purpose": "LOCATION",
"city": "Victor",
"state": "ID",
"postal_code": "834555443",
"country_code": "US",
"telephone_number": "307-690-5739",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "37 S 2nd E Ste 200",
"address_purpose": "LOCATION",
"city": "Rexburg",
"state": "ID",
"postal_code": "834401906",
"country_code": "US",
"telephone_number": "208-356-0234",
"fax_number": "208-656-8877",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WILBRECHT",
"first_name": "SUZANNE",
"credential": "MSN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-10-16",
"last_updated": "2026-01-13",
"certification_date": "2026-01-13",
"status": "A"
},
"taxonomies": [
{
"code": "363LX0001X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Obstetrics & Gynecology",
"state": "WA",
"license": "RN61139099",
"primary": false
},
{
"code": "363LX0001X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Obstetrics & Gynecology",
"state": "MT",
"license": "272373",
"primary": false
},
{
"code": "367A00000X",
"taxonomy_group": "",
"desc": "Advanced Practice Midwife",
"state": "WA",
"license": "N361143735",
"primary": false
},
{
"code": "367A00000X",
"taxonomy_group": "",
"desc": "Advanced Practice Midwife",
"state": "MT",
"license": "272373",
"primary": true
},
{
"code": "367A00000X",
"taxonomy_group": "",
"desc": "Advanced Practice Midwife",
"state": "ID",
"license": "66117",
"primary": false
},
{
"code": "367A00000X",
"taxonomy_group": "",
"desc": "Advanced Practice Midwife",
"state": "WA",
"license": "AP61139097",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "IDAHO STATE BOARD OF NURSING",
"identifier": "66117",
"state": "ID"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2174476",
"state": "WA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "SUZANNE",
"last_name": "MOORE",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Bozeman, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2026; 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.