Individual provider Active NPI

Jamie Elizabeth Decker, FNP-C

  • Nurse Practitioner
  • Butte, MT
National Provider Identifier
1922525518
Registry record updated Dec 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
NUR-APRN-LIC-127183 Issued in MT
Practice address
160 W Granite St Apt a
Butte, MT 59701-9261
Phone
(406) 302-2808
Fax
(406) 299-3323
NPI assigned
Aug 24, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NUR-APRN-LIC-127183 MT
Nurse Practitioner 363L00000X NUR-APRN-LIC-127183 MT Primary

Addresses

Primary practice location

160 W Granite St Apt a
Butte, MT 59701-9261

Mailing address

160 W Granite St Apt a
Butte, MT 59701-9261
Phone (406) 490-5220

Other names 1

  • Miss Jamie Elizabeth Waldorf Former name

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
I20171128003254 MT Practitioner - Nurse Practitioner 1557628690 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
NUR-APRN-LIC-127183MTMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Peak Health & Wellness, LLC Family Medicine CurrentSince Sep 27, 2021 Accepting new patients
Cogent Healthcare of Montana P C Family Medicine CurrentSince Sep 30, 2017 Accepting new patients

Locations

403 W Main St
Belgrade, MT 59714
Phone (406) 388-8708

1233 N 30th St
Billings, MT 59101
Phone (406) 237-3850

862 Harmon Stream Blvd
Ste 101
Bozeman, MT 59718
Phone (406) 312-8360

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

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1503532800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733270400000",
    "number": "1922525518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "160 W GRANITE ST APT A",
            "city": "BUTTE",
            "state": "MT",
            "postal_code": "597019261",
            "telephone_number": "406-490-5220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 W GRANITE ST APT A",
            "city": "BUTTE",
            "state": "MT",
            "postal_code": "597019261",
            "telephone_number": "406-302-2808",
            "fax_number": "406-299-3323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DECKER",
        "first_name": "JAMIE",
        "middle_name": "ELIZABETH",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-24",
        "last_updated": "2024-12-04",
        "certification_date": "2024-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MT",
            "license": "NUR-APRN-LIC-127183",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MT",
            "license": "NUR-APRN-LIC-127183",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JAMIE",
            "last_name": "WALDORF",
            "middle_name": "ELIZABETH",
            "prefix": "MISS",
            "credential": "FNP-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Butte, MT

Sources for this page

Verify at the official NPI Registry.