Ellen S Dewolfe MSN P.C.

Primary specialty

Psychiatric/Mental Health Clinical Nurse SpecialistTaxonomy code 364SP0808X

License

RN16128 Issued in MT

Legal business name

ELLEN S DEWOLFE MSN P.C.

Practice address

125 Bank St Ste 310
Missoula, MT 59802-4413

Phone

(406) 549-7325

Fax

(406) 549-7559

NPI assigned

Aug 22, 2006

Last updated

Oct 10, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ellen S Dewolfe, MSN CNSNPI 1174639199

Title

Owner

Phone

(065) 497-3254

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MT

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Ellen S Dewolfe, MSN PC

  • Psychiatric/Mental Health Clinical Nurse Specialist
  • Missoula, MT
  • NPI 1174639199
  Medicare reassignment NPD Authorized official
• Anne Taylor Arrington, LCSW, CRC, CCM

  • Clinical Social Worker
  • Missoula, MT
  • NPI 1790037992
  NPD (past)

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

{
    "created_epoch": "1156204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1570665600000",
    "number": "1891801817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3138",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598063138",
            "telephone_number": "406-549-7325",
            "fax_number": "406-549-7559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 BANK ST STE 310",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598024413",
            "telephone_number": "406-549-7325",
            "fax_number": "406-549-7559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELLEN S DEWOLFE MSN P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-22",
        "last_updated": "2019-10-10",
        "status": "A",
        "authorized_official_last_name": "DEWOLFE",
        "authorized_official_first_name": "ELLEN",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "065-497-3254",
        "authorized_official_credential": "MSN CNS"
    },
    "taxonomies": [
        {
            "code": "364SP0808X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health",
            "state": "MT",
            "license": "RN16128",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lily Elison, LMT
• Elizabeth Kennard, PLLC
• Elizabeth L. Suh, M.D. PLLC
• Elizabeth Urschel, LCSW, LLC
• Elkhorn Professional Services
• Mark William Elliott, M.D.
• William Otto Elliott, DDS
• Heather Inge Ellsworth, LAC
• Scott Eugen Elrod, M.D.
• Heidi S.M. Elwood, LCSW

• Psychiatric/Mental Health Clinical Nurse Specialist in Missoula, MT
• Providers in Missoula, MT by specialty
• Psychiatric/Mental Health Clinical Nurse Specialist in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.