Kelsey Haugo, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

NUR-APRN-LIC-160118 Issued in MT

Practice address

301 Knapp St
Wolf Point, MT 59201-1826

Phone

(406) 653-6500

NPI assigned

Jun 17, 2020

Last updated

Jul 6, 2020By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Daniels Memorial HospitalGroup PAC ID 4880685965, shared by 3 NPIs, 21 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Daniels Memorial Hospital Hospital, Scobey, MT, CCN 271342
• Sheridan Memorial Hosptial Hospital, Plentywood, MT, CCN 271322
• Frances Mahon Deaconess Hospital Hospital, Glasgow, MT, CCN 271316

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Daniels Memorial Hospital

  dba Daniels Memorial Healthcare Center

  • Critical Access Hospital
  • Scobey, MT
  • NPI 1346224391
  Medicare reassignment NPD
• Daniels Memorial Hospital

  • Rural Health Clinic/Center
  • Scobey, MT
  • NPI 1750459632
  Medicare reassignment NPD
• Sheridan Memorial Hospital Association

  • Critical Access Hospital Clinic/Center
  • Plentywood, MT
  • NPI 1891859641
  Medicare reassignment NPD
• Daniels Memorial Hospital

  dba Daniels Memorial Healthcare Center

  • Medicare Defined Swing Bed Hospital Unit
  • Scobey, MT
  • NPI 1982828273
  NPD
• Sheridan Memorial Hospital Association

  • Critical Access Hospital
  • Plentywood, MT
  • NPI 1255362851
  NPD
• Frances Mahon Deaconess Hospital

  • Critical Access Hospital
  • Glasgow, MT
  • NPI 1689685323
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Daniels Memorial Hospital

  dba Daniels Memorial Healthcare Center

  • Critical Access Hospital
  • Scobey, MT
  • NPI 1346224391
  Care Compare affiliation
• Frances Mahon Deaconess Hospital

  • Critical Access Hospital
  • Glasgow, MT
  • NPI 1689685323
  Care Compare affiliation
• Sheridan Memorial Hospital Association

  • Critical Access Hospital
  • Plentywood, MT
  • NPI 1255362851
  Care Compare affiliation
• Sheridan Memorial Hospital Association

  • Critical Access Hospital
  • Plentywood, MT
  • NPI 1467452102
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1592352000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593993600000",
    "number": "1891311684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 KNAPP ST",
            "city": "WOLF POINT",
            "state": "MT",
            "postal_code": "592011826",
            "telephone_number": "406-653-6500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 KNAPP ST",
            "city": "WOLF POINT",
            "state": "MT",
            "postal_code": "592011826",
            "telephone_number": "406-653-6500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAUGO",
        "first_name": "KELSEY",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-06-17",
        "last_updated": "2020-07-06",
        "certification_date": "2020-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MT",
            "license": "NUR-APRN-LIC-160118",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Myriam Nantes Greene, D.D.S.
• Jacqueline Ivy Gysler, PTA
• Brianne Hagan, PHARM. D
• Katie Jo Hagan, R.N.
• Vanessa Hardy, MSW, SWLC, LAC
• Kaitlyn Haynie, OTR/L
• Rita Catherine Hopkins, RN
• Jennifer Leigh Hoversland, APRN-FNP
• Innerthread PLLC
• Jeff C. Richardson, Lac LLC

• Family Nurse Practitioner in Wolf Point, MT
• Providers in Wolf Point, MT by specialty
• Family Nurse Practitioner in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2020; 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.

Verify at the official NPI Registry.