NPIMap

Individual provider Active NPI

Katherine Diane Mistretta, DNP

  • Family Nurse Practitioner
  • Bozeman, MT
National Provider Identifier
1902230956
Registry record updated Jun 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2013002702 Issued in MT
Practice address
316 E Babcock St
Bozeman, MT 59715-4710
Phone
(406) 585-0022
Fax
(406) 585-0032
NPI assigned
Aug 27, 2013
Last updated
Jun 7, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 2013002702 MT Primary

Addresses

Primary practice location

316 E Babcock St
Bozeman, MT 59715-4710

Mailing address

439 N Black Ave
Bozeman, MT 59715-3611
Phone (406) 599-3707

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MT
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20131025001543 MT Practitioner - Nurse Practitioner 1951536051 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Bozeman Creek Family Health PLLCGroup PAC ID 5890742571, 12 clinicians

Practice addresses (Care Compare)

316 E Babcock St
Bozeman, MT 59715-4710
Phone (406) 585-0022

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2013002702MTMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Bozeman Creek Family Health, PLLC CurrentSince Jan 22, 2014 Accepting new patients
Frances Mahon Deaconess Hospital Past Accepting new patients

Locations

316 E Babcock St
Bozeman, MT 59715
Phone (406) 539-5393

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/GIGHCD

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 13

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

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1377561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654560000000",
    "number": "1902230956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "439 N BLACK AVE",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597153611",
            "telephone_number": "406-599-3707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "316 E BABCOCK ST",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597154710",
            "telephone_number": "406-585-0022",
            "fax_number": "406-585-0032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MISTRETTA",
        "first_name": "KATHERINE",
        "middle_name": "DIANE",
        "credential": "DNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-08-27",
        "last_updated": "2022-06-07",
        "certification_date": "2022-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MT",
            "license": "2013002702",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bozeman, MT

Sources for this page

Verify at the official NPI Registry.