Individual provider Active NPI

Tanya McCullough, ANP-C

  • Adult Health Nurse Practitioner
  • Havre, MT
National Provider Identifier
1912287152
Registry record updated Apr 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
45143 Issued in MT
Practice address
20 13 St West
Havre, MT 59501
Phone
(406) 265-7831
NPI assigned
Aug 19, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 45143 MT
Adult Health Nurse Practitioner 363LA2200X 45143 MT Primary

Addresses

Primary practice location

20 13 St West
Havre, MT 59501

Mailing address

PO Box 6369
Helena, MT 59604-6369
Phone (406) 447-2823

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address tmccullough18872@benefishs.direct-ci.com Benefis Hospitals Inc

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111130000861 MT Practitioner - Nurse Practitioner 9436323466 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Benefis Hospitals IncGroup PAC ID 1153235296, 390 clinicians

Practice addresses (Care Compare)

1101 26TH St S
Great Falls, MT 59405-5161
Phone (406) 455-5000

500 15TH Ave S
Great Falls, MT 59405-4324
Phone (406) 455-5000

PO Box
Suite 6010
Great Falls, MT 59406-6010

Hospital & facility affiliations

  • Benefis Hospitals Inc Hospital, Great Falls, MT, CCN 270012

Merit-based Incentive Payment System (MIPS)

Final score
82.99 of 100Reported as group
Quality
62.64
Promoting interoperability
100
Improvement activities
40
Cost
80.67

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
45143MTMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Intermountain Planned Parenthood Inc CurrentSince Dec 1, 2015 Accepting new patients
Benefis Hospitals Inc CurrentSince Oct 1, 2017 Accepting new patients
St. Peter'S Health CurrentSince Oct 1, 2016 Accepting new patients
Northern Montana Hospital CurrentSince Sep 6, 2011 Accepting new patients
Northern Montana Hospital Registered Nurse Current Accepting new patients
St. Peter'S Health CurrentSince Oct 1, 2016 Accepting new patients
Northern Montana Hospital CurrentSince Sep 6, 2011 Accepting new patients
St Peter'S Health Current Accepting new patients
Benefis Hospitals, Inc. Past Accepting new patients
Frances Mahon Deaconess Hospital Past Accepting new patients
Benefis Hospitals, Inc. Past Accepting new patients

Locations

1643 Lewis Ave
Ste 211
Billings, MT 59102

500 15th Ave S
Great Falls, MT 59405
Phone (406) 455-2021

1101 26th St S
Great Falls, MT 59405
Phone (406) 455-4690

2800 11th Ave S
Ste 20
Great Falls, MT 59405
Phone (406) 761-1534

1101 26th St S
Fl 5
Great Falls, MT 59405
Phone (406) 455-2132

20 13th St W
Havre, MT 59501
Phone (406) 262-1701

2475 E Broadway St
Helena, MT 59601
Phone (406) 442-2480

3330 Ptarmigan Ln
Helena, MT 59602
Phone (406) 442-3570

1500 Cannon St
Helena, MT 59601
Phone (406) 248-3637

Interoperability endpoints

  • Direct secure messaging: tmccullough18872@benefishs.direct-ci.com

Organizations & group practices 11

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.

Hospital & facility affiliations 3

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

NPI Registry JSON

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

{
    "created_epoch": "1313712000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712534400000",
    "number": "1912287152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6369",
            "city": "HELENA",
            "state": "MT",
            "postal_code": "596046369",
            "telephone_number": "406-447-2823",
            "fax_number": "406-447-2825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 13 ST WEST",
            "city": "HAVRE",
            "state": "MT",
            "postal_code": "59501",
            "telephone_number": "406-265-7831"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCULLOUGH",
        "first_name": "TANYA",
        "credential": "ANP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-19",
        "last_updated": "2024-04-08",
        "certification_date": "2024-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MT",
            "license": "45143",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MT",
            "license": "45143",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tmccullough18872@benefishs.direct-ci.com",
            "affiliation": "Y",
            "affiliationName": "Benefis Hospitals Inc",
            "address_1": "1101 26th St S",
            "city": "Great Falls",
            "state": "MT",
            "country_code": "US",
            "postal_code": "594055161",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Havre, MT

Sources for this page

Verify at the official NPI Registry.