Kelsey Haugo, FNP-C
Individual provider Active NPI Family Nurse Practitioner · Wolf Point, MT
NPI 1891311684 · NPPES record last updated Jul 6, 2020
Key facts
- NPI
- 1891311684
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- NUR-APRN-LIC-160118 (MT)
- Practice address
- 301 Knapp St
Wolf Point, MT 59201-1826 - Phone
- (406) 653-6500
- NPI assigned
- Jun 17, 2020
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 6
Hospital & facility affiliations 4
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Daniels Memorial Hospital
Practice addresses (Care Compare)
105 5TH Ave E
Scobey, MT 59263-7849
Phone (406) 487-2296
Hospital & facility affiliations
- Daniels Memorial Hospital
- Sheridan Memorial Hosptial
- Frances Mahon Deaconess Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MT
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200807000343 | MT | Practitioner - Nurse Practitioner | 4486079423 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| NUR-APRN-LIC-160118 | MT | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sheridan Memorial Hospital Association | Current |
Accepting new patients | |
| Sheridan Memorial Hospital Association | Current |
Accepting new patients | |
| Daniels Memorial Hospital | Current |
Accepting new patients | |
| Daniels Memorial Hospital | Current |
Accepting new patients | |
| Daniels Memorial Hospital | Current |
Accepting new patients | |
| Frances Mahon Deaconess Hospital | Past | Accepting new patients |
Locations
440 W Laurel Ave
Plentywood, MT 59254
Phone (406) 765-1420
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | NUR-APRN-LIC-160118 | MT | Yes |
Addresses
Primary practice location
301 Knapp St
Wolf Point, MT 59201-1826
Mailing address
301 Knapp St
Wolf Point, MT 59201-1826
Phone (406) 653-6500
Other providers in Wolf Point, MT
- Myriam Nantes Greene
- Jacqueline Ivy Gysler
- Brianne Hagan
- Katie Jo Hagan
- Vanessa Hardy
- Kaitlyn Haynie
- Rita Catherine Hopkins
- Jennifer Leigh Hoversland
- Innerthread PLLC
- Jeff C. Richardson, Lac LLC
All providers in Wolf Point, MT · Family Nurse Practitioner in Montana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 6, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.