Jaala M Wickman, FNP-BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

165714 Issued in MT

Practice address

2827 Fort Missoula Rd
Missoula, MT 59804-7408

Phone

(406) 728-4100

NPI assigned

Sep 2, 2020

Last updated

Nov 18, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

RCHP Billings - Missoula LLCGroup PAC ID 8426370842, 69 clinicians

Generations Family Medicine and ObstetricsGroup PAC ID 2769769058, 4 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Community Medical Center Hospital, Missoula, MT, CCN 270023
• St. Patrick Hospital Hospital, Missoula, MT, CCN 270014

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: generationsfamilymedicine.jaalawickman@139010.advancedmd-direct.com
• Direct secure messaging: jwickman@direct.communitymed.org

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.

• Generations Family Medicine and Obstetrics

  • Family Medicine Physician
  • Missoula, MT
  • NPI 1306379037
  Medicare reassignment Care Compare group NPD
• RCHP Billings - Missoula LLC

  dba Community Physician Group

  • Specialist
  • Missoula, MT
  • NPI 1376946913
  Medicare reassignment Care Compare group NPD
• RCHP Billings - Missoula LLC

  dba Community Physician Group

  • Medical Oncology Physician
  • Missoula, MT
  • NPI 1891164125
  NPD

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

• Providence Health & Services Mt

  dba Providence St Patrick Hospital

  • General Acute Care Hospital
  • Missoula, MT
  • NPI 1023032588
  Care Compare affiliation
• Providence Health & Services Mt

  dba Montana Cancer Center at Providence St. Patrick Hospital

  • Medical Oncology Physician
  • Missoula, MT
  • NPI 1326483587

  Hospital

  Care Compare affiliation
• Providence Health & Services Mt

  dba St Patrick Hospital Pathology

  • Anatomic Pathology & Clinical Pathology Physician
  • Missoula, MT
  • NPI 1366185928

  Hospital

  Care Compare affiliation
• Providence Health & Services Mt

  dba St Patrick Hospital Psych

  • Psychiatric Hospital Unit
  • Missoula, MT
  • NPI 1619058302
  Care Compare affiliation
• RCHP Billings - Missoula LLC

  dba Community Medical Center

  • General Acute Care Hospital
  • Missoula, MT
  • NPI 1346642899
  Care Compare affiliation

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

{
    "created_epoch": "1599004800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605657600000",
    "number": "1922612431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1098",
            "city": "FRENCHTOWN",
            "state": "MT",
            "postal_code": "598341098",
            "telephone_number": "406-546-3631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2827 FORT MISSOULA RD",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598047408",
            "telephone_number": "406-728-4100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WICKMAN",
        "first_name": "JAALA",
        "middle_name": "M",
        "name_prefix": "Ms.",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-02",
        "last_updated": "2020-11-18",
        "certification_date": "2020-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MT",
            "license": "165714",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leslie Field Whitney, MD
• Kevin E Whitton, DPM
• Wholistic Chiropractic PC
• Christopher G Wicher, M.D.
• Christy Wicklund, ABOC
• Curtis G Wickre, MD
• Kallie Widaman, PHARMD
• Angela Widdicombe, LCSW, LAC
• Emma Wiese
• Jennifer L Wihlborg, LCSW

• Family Nurse Practitioner in Missoula, MT
• Providers in Missoula, MT by specialty
• Family Nurse Practitioner in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2020; 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.

Verify at the official NPI Registry.