Individual provider Active NPI

Kelly Marie Gregory, F.N.P.

  • Nurse Practitioner
  • Kalispell, MT
National Provider Identifier
1891159109
Registry record updated Apr 12, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
NURAPRNLIC102585 Issued in MT
Practice address
2316 US Highway 93 N
Kalispell, MT 59901-2547
Phone
(406) 755-5661
Fax
(406) 755-5674
NPI assigned
Apr 12, 2016
Last updated
Apr 12, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2016

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 NURAPRNLIC102585 MT Primary

Addresses

Primary practice location

2316 US Highway 93 N
Kalispell, MT 59901-2547

Mailing address

PO Box 10338
Kalispell, MT 59904-3338
Phone (406) 755-5661

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
I20160624000037 MT Practitioner - Nurse Practitioner 2769773670 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

3975 US Hwy 93 N
Stevensville, MT 59870-6474
Phone (406) 777-6002

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
NURAPRNLIC102585MTMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Marcus Daly Memorial Hospital Corporation CurrentSince May 1, 2023 Accepting new patients
RCHP Billings - Missoula LLC Current Accepting new patients
Marcus Daly Memorial Hospital Corporation CurrentSince May 1, 2023 Accepting new patients
Marcus Daly Memorial Hospital Corporation Current Accepting new patients
RCHP Billings - Missoula LLC CurrentSince Nov 1, 2016 Accepting new patients
Marcus Daly Memorial Hospital Corporation Past Accepting new patients

Locations

1200 Westwood Dr
Hamilton, MT 59840
Phone (406) 363-2211

1200 Westwood Dr
Ste I
Hamilton, MT 59840
Phone (406) 363-1100

1224 W Main St
Hamilton, MT 59840
Phone (406) 375-4823

2230 N Reserve St
Ste 402
Missoula, MT 59808
Phone (406) 327-3850

3975 US Highway 93 N
Stevensville, MT 59870
Phone (406) 375-4824

Interoperability endpoints

  • Direct secure messaging: kgregory@direct.communitymed.org

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.

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": "1460419200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1460419200000",
    "number": "1891159109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10338",
            "city": "KALISPELL",
            "state": "MT",
            "postal_code": "599043338",
            "telephone_number": "406-755-5661",
            "fax_number": "406-755-5674"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2316 US HIGHWAY 93 N",
            "city": "KALISPELL",
            "state": "MT",
            "postal_code": "599012547",
            "telephone_number": "406-755-5661",
            "fax_number": "406-755-5674"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREGORY",
        "first_name": "KELLY",
        "middle_name": "MARIE",
        "credential": "F.N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-12",
        "last_updated": "2016-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MT",
            "license": "NURAPRNLIC102585",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kalispell, MT

Sources for this page

Verify at the official NPI Registry.