Active NPI
Tanya McCullough, ANP-C
- Adult Health Nurse Practitioner
- Havre, MT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- 45143
- 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
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 |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
Enrollment records 1
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
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
Merit-based Incentive Payment System (MIPS)
- Final score
- 82.99 of 100
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 45143 | MT | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Intermountain Planned Parenthood Inc | Current | Accepting new patients | |
| Benefis Hospitals Inc | Current | Accepting new patients | |
| St. Peter'S Health | Current | Accepting new patients | |
| Northern Montana Hospital | Current | Accepting new patients | |
| Northern Montana Hospital | Registered Nurse | Current | Accepting new patients |
| St. Peter'S Health | Current | Accepting new patients | |
| Northern Montana Hospital | Current | 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
- 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.
-
- Multi-Specialty Clinic/Center
- Great Falls, MT
- NPI 1780968974
-
- Non-Surgical Family Planning Clinic/Center
- Billings, MT
- NPI 1134297179
-
- General Acute Care Hospital
- Helena, MT
- NPI 1205025145
-
- Critical Access Hospital
- Havre, MT
- NPI 1578536355
-
- Rural Health Clinic/Center
- Havre, MT
- NPI 1669445490
-
- Family Medicine Physician
- Helena, MT
- NPI 1083869390
-
- Radiology Clinic/Center
- Butte, MT
- NPI 1194785154
-
- Physical Therapist
- Great Falls, MT
- NPI 1750530515
-
- General Acute Care Hospital
- Great Falls, MT
- NPI 1881650737
-
- Critical Access Hospital
- Glasgow, MT
- NPI 1689685323
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Great Falls, MT
- NPI 1881650737
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2024; 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.