NPIMap

Individual provider Active NPI

Christine L Mitchell, MD

  • Family Medicine Physician
  • Bozeman, MT
National Provider Identifier
1992728240
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
10016 Issued in MT
Practice address
931 Highland Blvd
Suite 3360
Bozeman, MT 59715
Phone
(406) 587-4242
Fax
(406) 587-3507
NPI assigned
Jul 26, 2006
Sex
Female
Sole proprietor
No

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 and National Provider Directory roles.

Hospital & facility affiliations 11

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

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Washington School of Medicine, 1998
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Bozeman Clinic PLLP 8 clinicians

Practice addresses (Care Compare)

1245 N 15TH Ave
Bozeman, MT 59715-3267
Phone (406) 587-4242

1245 N 15TH Ave
Bozeman, MT 59715-3454

Hospital & facility affiliations

  • Enhabit Home Health Home health agency, Helena, MT, CCN 277017
  • Bozeman Health Deaconess Hospital Hospital, Bozeman, MT, CCN 270057
  • Billings Clinic Hospital Hospital, Billings, MT, CCN 270004
  • Madison Valley Medical Center Hospital, Ennis, MT, CCN 271329

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Skin biopsy1-10

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MT
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060413000706 MT Practitioner - Family Practice 3971493495 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
10016MTMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bozeman Clinic PLLP Family Medicine CurrentSince Apr 1, 2006 Accepting new patients
Frances Mahon Deaconess Hospital Past Accepting new patients
Inland Empire Hospital Services Association Family Medicine Past Accepting new patients
Columbia Medical Associates LLC Family Medicine Past Accepting new patients

Locations

1245 N 15th Ave
Bozeman, MT 59715
Phone (406) 587-4242

931 Highland Blvd
Ste 3360
Bozeman, MT 59715
Phone (406) 414-5300

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/18402/brand/1/csg/1/fhir/r4
  • Direct secure messaging: christine.mitchell.1@18402.direct.athenahealth.com

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 10016 MT Primary

Addresses

NPPES NPI Registry

Primary practice location

931 Highland Blvd
Suite 3360
Bozeman, MT 59715

Mailing address

931 Highland Blvd
Suite 3360
Bozeman, MT 59715
Phone (406) 587-4242

Other identifiers 2

NPPES NPI Registry
IdentifierTypeStateIssuer
0152672MedicaidMT
93236OtherMTBLUE CROSS BLUE SHIELD

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 8, 2007.

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1992728240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "931 HIGHLAND BLVD",
            "address_2": "SUITE 3360",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "59715",
            "telephone_number": "406-587-4242",
            "fax_number": "406-587-3507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "931 HIGHLAND BLVD",
            "address_2": "SUITE 3360",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "59715",
            "telephone_number": "406-587-4242",
            "fax_number": "406-587-3507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITCHELL",
        "first_name": "CHRISTINE",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MT",
            "license": "10016",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0152672",
            "state": "MT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "93236",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bozeman, MT

Sources for this page

Verify at the official NPI Registry.