Individual provider Active NPI

Katherine M Mitchell, NP

  • Family Nurse Practitioner
  • Cut Bank, MT
National Provider Identifier
1922484690
Registry record updated Aug 5, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
NUR-RN-LIC-39558 Issued in MT
Practice address
802 2ND St SE
Cut Bank, MT 59427-3329
Phone
(406) 873-5507
NPI assigned
Aug 5, 2015
Last updated
Aug 5, 2015By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 5, 2015

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 NUR-RN-LIC-39558 MT Primary

Addresses

Primary practice location

802 2ND St SE
Cut Bank, MT 59427-3329

Mailing address

PO Box 655
St Ignatius, MT 59865-0655
Phone (406) 745-4190

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
I20150925002789 MT Practitioner - Nurse Practitioner 6103719331 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Lukes Community HospitalGroup PAC ID 5496659567, 59 clinicians

Practice addresses (Care Compare)

126 6TH Ave SW
Ronan, MT 59864-2600
Phone (406) 676-3600

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
St. Lukes Community Hospital CurrentSince Jan 1, 2018 Accepting new patients
St. Lukes Community Hospital Current Accepting new patients
St Lukes Community Hospital CurrentSince Jan 1, 2018 Accepting new patients

Locations

104 Rufus Ln
Polson, MT 59860
Phone (406) 543-8512

107 6th Ave SW
Ronan, MT 59864
Phone (406) 676-3600

126 6th Ave SW
Ronan, MT 59864
Phone (406) 676-3600

126 6th Ave SW
Ste A
Ronan, MT 59864
Phone (406) 676-3600

126 6th Ave SW
Ste B
Ronan, MT 59864
Phone (406) 676-4436

Organizations & group practices 4

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 2

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": "1438732800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1438732800000",
    "number": "1922484690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 655",
            "city": "ST IGNATIUS",
            "state": "MT",
            "postal_code": "598650655",
            "telephone_number": "406-745-4190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "802 2ND ST SE",
            "city": "CUT BANK",
            "state": "MT",
            "postal_code": "594273329",
            "telephone_number": "406-873-5507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITCHELL",
        "first_name": "KATHERINE",
        "middle_name": "M",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-08-05",
        "last_updated": "2015-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MT",
            "license": "NUR-RN-LIC-39558",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cut Bank, MT

Sources for this page

Verify at the official NPI Registry.