Active NPI
Kristen J Townley, MD
- MOHS-Micrographic Surgery Physician
- Missoula, MT
National Provider Identifier
1891749446
On this page
Key facts
NPPES NPI Registry- Primary specialty
- MOHS-Micrographic Surgery Physician
- License
- 10834
- Practice address
- 2835 Fort Missoula Rd BLDG 3
Missoula, MT 59804-7423 - Phone
- (406) 721-5600
- Fax
- (406) 329-7192
- NPI assigned
- May 19, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| MOHS-Micrographic Surgery Physician | 207ND0101X | 10834 | MT | Primary |
| Dermatology Physician | 207N00000X | 10834 | MT |
Addresses
Primary practice location
2835 Fort Missoula Rd BLDG 3
Missoula, MT 59804-7423
Mailing address
PO Box 7609
Missoula, MT 59807-7609
Phone (406) 721-5600
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0143702 | Medicaid | MT |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | ktownley207093@wm.providencedirect.org | Direct |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050630000277 | MT | Practitioner - Dermatology | 8527048537 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Dermatology
- Education
- University of North Dakota School of Medicine, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Western Montana Clinic PC
Practice addresses (Care Compare)
500 W Broadway St
Missoula, MT 59802-4008
Phone (406) 721-5600
Merit-based Incentive Payment System (MIPS)
- Final score
- 82.1 of 100
- Quality
- 86.66
- Promoting interoperability
- 77
- Improvement activities
- 40
- Cost
- 72.83
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 57 |
| Removal of tissue | 1-10 |
| Removal of skin lesions | 240 |
| Removal of skin cancer | 998 |
| Removal or shaving of skin growth | 1-10 |
| Skin biopsy | 102 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10834 | MT | MD | MOHS-Micrographic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Western Montana Clinic PC | Current | Accepting new patients | |
| Western Montana Clinic PC | Current | Accepting new patients |
Locations
500 W Broadway St
Missoula, MT 59802
Phone (406) 327-1918
2835 Fort Missoula Rd
Bldg 3
Missoula, MT 59804
Interoperability endpoints
- ktownley207093@wm.providencedirect.org
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Clinical Medical Laboratory
- Missoula, MT
- NPI 1740364017
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147996800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1624838400000",
"number": "1891749446",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 7609",
"city": "MISSOULA",
"state": "MT",
"postal_code": "598077609",
"telephone_number": "406-721-5600",
"fax_number": "406-721-3907"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2835 FORT MISSOULA RD BLDG 3",
"city": "MISSOULA",
"state": "MT",
"postal_code": "598047423",
"telephone_number": "406-721-5600",
"fax_number": "406-329-7192"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TOWNLEY",
"first_name": "KRISTEN",
"middle_name": "J",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-19",
"last_updated": "2021-06-28",
"certification_date": "2021-06-28",
"status": "A"
},
"taxonomies": [
{
"code": "207ND0101X",
"taxonomy_group": "",
"desc": "Dermatology, MOHS-Micrographic Surgery",
"state": "MT",
"license": "10834",
"primary": true
},
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "MT",
"license": "10834",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0143702",
"state": "MT"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "ktownley207093@wm.providencedirect.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "2835 Fort Missoula Rd Bldg 3",
"city": "Missoula",
"state": "MT",
"country_code": "US",
"postal_code": "598047423",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Missoula, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2021; 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.