Active NPI
Gelene M Berkram, FNP
- Family Nurse Practitioner
- Kalispell, MT
National Provider Identifier
1922068758
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 100634
- Practice address
- 310 Sunnyview LN
Kalispell, MT 59901-3129 - Phone
- (406) 751-6725
- Fax
- (406) 758-5170
- NPI assigned
- Mar 24, 2006
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | RN9733 | MT | |
| Family Nurse Practitioner | 363LF0000X | 100634 | MT | Primary |
Addresses
Primary practice location
310 Sunnyview LN
Kalispell, MT 59901-3129
Mailing address
310 Sunnyview LN
Kalispell, MT 59901-3129
Phone (406) 751-6725
Other practice location 1
1287 Burns Way
Kalispell, MT 59901-3109
Phone (406) 752-8120
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| RN9733 | Other | MT | MT LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 100634 | MT | MD | Family Nurse Practitioner |
| RN9733 | MT | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Frenchtown Family Practice | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Family Medicine Physician
- Frenchtown, MT
- NPI 1891741807
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143158400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1922068758",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "310 SUNNYVIEW LN",
"city": "KALISPELL",
"state": "MT",
"postal_code": "599013129",
"telephone_number": "406-751-6725",
"fax_number": "406-758-5170"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "310 SUNNYVIEW LN",
"city": "KALISPELL",
"state": "MT",
"postal_code": "599013129",
"telephone_number": "406-751-6725",
"fax_number": "406-758-5170"
}
],
"practiceLocations": [
{
"address_1": "1287 Burns Way",
"address_purpose": "LOCATION",
"city": "Kalispell",
"state": "MT",
"postal_code": "599013109",
"country_code": "US",
"telephone_number": "406-752-8120",
"fax_number": "406-752-8134",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BERKRAM",
"first_name": "GELENE",
"middle_name": "M",
"name_prefix": "Ms.",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-03-24",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MT",
"license": "RN9733",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MT",
"license": "100634",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MT LICENSE",
"identifier": "RN9733",
"state": "MT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Kalispell, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.