Jacob Paul Forke, M.D.
Individual provider Active NPI Family Medicine Physician · Lewistown, MT
NPI 1902127756 · NPPES record last updated Dec 30, 2025
Key facts
- NPI
- 1902127756
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- MED-PHYS-LIC-25924 (MT)
- Practice address
- 311 W Main St
Lewistown, MT 59457-2760 - Phone
- (406) 535-6545
- NPI assigned
- Jun 16, 2010
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 30
Hospital & facility affiliations 16
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- University of Colorado School of Medicine, Denver, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Bighorn Valley Health Center Incorporated
Practice addresses (Care Compare)
10 4TH St W
Suite B
Hardin, MT 59034-1804
Phone (406) 665-4103
311 W Main St
Lewistown, MT 59457-2770
Phone (406) 535-6545
Hospital & facility affiliations
- Central Montana MC Home Health
- Hospice of Central Montana
- Central Montana Medical Center
- Billings Clinic Hospital
- Intermountain Health St Vincent Regional Hospital
- Central Montana Medical Center
- Valle Vista Rehabilitation and Nursing LLC
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: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20130806000955 | MT | Practitioner - Family Practice | 2860647195 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MED-PHYS-LIC-25924 | MT | MD | Family Medicine Physician |
Practice roles
Locations
112 St. Labre Campus Dr
Ashland, MT 59003
Phone (406) 784-2346
19 E Main St
Belgrade, MT 59714
Phone (406) 222-1111
410 Triple Crown St
Rm A108
Belgrade, MT 59714
Phone (406) 388-3311
1695 Tschache Ln
Bozeman, MT 59715
Phone (406) 585-1360
1515 W Bell St
Ste 15
Glendive, MT 59330
Phone (406) 345-5336
300 College Dr
Glendive, MT 59330
Phone (406) 377-9410
721 N Miles Ave
Hardin, MT 59034
Phone (406) 665-4103
1223 N Center Ave
Hardin, MT 59034
Phone (406) 665-4103
16 N Miles Ave
Ste 101
Hardin, MT 59034
Phone (406) 237-8270
10 4th St W
Ste B
Hardin, MT 59034
Phone (406) 237-5845
408 Wendell Ave
Lewistown, MT 59457
Phone (406) 535-1502
311 W Main St
Lewistown, MT 59457
Phone (406) 535-6545
406 1st Ave S
Lewistown, MT 59457
Phone (406) 535-6545
112 W Lewis St
Livingston, MT 59047
Phone (406) 222-1111
305 S 4th St
Miles City, MT 59301
Phone (406) 234-4724
601 Main St
Miles City, MT 59301
Phone (406) 874-8700
94 Central Ave
Ste 3
Stanford, MT 59479
Phone (406) 566-2773
Interoperability endpoints
- jacob.forke.1@16708.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | MED-PHYS-LIC-25924 | MT | Yes |
Addresses
Primary practice location
311 W Main St
Lewistown, MT 59457-2760
Mailing address
311 W Main St
Lewistown, MT 59457-2760
Phone (406) 535-6545
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902127756 | Medicaid | MT | |
| 924810 | Other | MT | BLUE CROSS BLUE SHIELD |
Other providers in Lewistown, MT
- Eyecare Associates of Lewistown PC
- Harry Felton
- Fergus County
- Fergus County
- Fergus County Council on Aging
- Stacy Michelle Fowler
- James W Fox
- Taylor Frye
- Lisa Jo Gilbert
- Roger Grove
All providers in Lewistown, MT · Family Medicine Physician in Montana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 30, 2025. 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.