Individual provider Active NPI

Suzanne Wilbrecht, MSN

  • Advanced Practice Midwife
  • Bozeman, MT
National Provider Identifier
1861090219
Registry record updated Jan 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
272373 Issued in MT
Practice address
905 Highland Blvd Ste 4500
Bozeman, MT 59715-6903
Phone
(406) 414-5150
NPI assigned
Oct 16, 2020
Last updated
Jan 13, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2026

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
66117OtherIDIDAHO STATE BOARD OF NURSING
2174476MedicaidWA

Other names 1

  • Suzanne Moore Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID, MT2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20211115001022 ID Practitioner - Certified Nurse Midwife (CNM) 1456768837 Reassigns benefits to 1 organization
I20260123002167 MT Practitioner - Certified Nurse Midwife (CNM) 1456768837 Reassigns benefits to 1 organization

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
Madison Co Memorial HospitalGroup PAC ID 8123016367, 34 clinicians

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

LicenseStateTypeSpecialty
272373MTMDObstetrics & Gynecology Nurse Practitioner
66117IDMDAdvanced Practice Midwife
N361143735WAMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Bozeman Health Deaconess Hospital CurrentSince Jan 1, 2026 Accepting new patients
Madison Co Memorial Hospital Current Accepting new patients
Madison Co Memorial Hospital CurrentSince Oct 1, 2021 Accepting new patients
Bozeman Health Deaconess Hospital CurrentSince Jan 1, 2026 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.

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

Verify at the official NPI Registry.