Individual provider Active NPI

Julienne Lippe, MD

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Libby, MT
National Provider Identifier
1861610743
Registry record updated Aug 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Orthopaedic Surgery) PhysicianTaxonomy code 207XX0005X
License
2011016774 Issued in MO
Practice address
308 Louisiana Ave Ste 2
Libby, MT 59923-2159
Phone
(406) 283-6824
Fax
(406) 283-3022
NPI assigned
Apr 23, 2007
Last updated
Aug 3, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 3, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Orthopaedic Surgery) Physician 207XX0005X 2011016774 MO Primary

Addresses

Primary practice location

308 Louisiana Ave Ste 2
Libby, MT 59923-2159

Mailing address

308 Louisiana Ave Ste 2
Libby, MT 59923-2159
Phone (406) 283-6824

Other names 1

  • Julienne Lippe Boone Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address cpmcmedicalrecords@cpmcdirect.org

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230321001538 MT Practitioner - Orthopedic Surgery 2769658772 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Tulane University School of Medicine, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Johns Lutheran Hospital IncGroup PAC ID 1557255676, 34 clinicians

Practice addresses (Care Compare)

209 Health Park Dr
Libby, MT 59923-2001
Phone (406) 283-7000

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
St. John's Lutheran Hospital, Inc. CurrentSince May 1, 2023 Accepting new patients
St. John's Lutheran Hospital, Inc. Past Accepting new patients
Franklin County Surgical Associates Inc Past Accepting new patients

Locations

209 Health Park Dr
Libby, MT 59923
Phone (406) 283-7000

308 Louisiana Ave
Ste 2
Libby, MT 59923
Phone (406) 283-6824

Interoperability endpoints

  • Direct secure messaging: jlippe222835@directc.mercy.net

Ownership & related parties

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Cabinet Peaks Medical CenterLibby, MT, CCN 271320 Hospital Corporate Officer May 14, 2025
Cabinet Peaks Family MedicineLibby, MT, CCN 273435 Rural health clinic Corporate Director May 14, 2025

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 3

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.

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": "1177286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691020800000",
    "number": "1861610743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "308 LOUISIANA AVE STE 2",
            "city": "LIBBY",
            "state": "MT",
            "postal_code": "599232159",
            "telephone_number": "406-283-6824",
            "fax_number": "406-283-3022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "308 LOUISIANA AVE STE 2",
            "city": "LIBBY",
            "state": "MT",
            "postal_code": "599232159",
            "telephone_number": "406-283-6824",
            "fax_number": "406-283-3022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIPPE",
        "first_name": "JULIENNE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-23",
        "last_updated": "2023-08-03",
        "certification_date": "2023-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "MO",
            "license": "2011016774",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cpmcmedicalrecords@cpmcdirect.org",
            "affiliation": "N",
            "address_1": "308 Louisiana Ave Ste 2",
            "city": "Libby",
            "state": "MT",
            "country_code": "US",
            "postal_code": "599232159",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "JULIENNE",
            "last_name": "BOONE",
            "middle_name": "LIPPE",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Libby, MT

Sources for this page

Verify at the official NPI Registry.