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DACIA LEE ANTISTE-FISHER LCSW
NPI 1104255637
Social Worker - Clinical in Polson, MT

Active since November 05, 2013PECOS EnrolledAccepts Medicare Assignment
5 4TH AVE E, POLSON, MT 59860(406) 745-3525(406) 745-3529 Get Directions Write a Review

NPPES record last updated: March 14, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Nov 9, 2023, Jun 19, 2018 (2 updates tracked since 2018).

About Dacia Lee Antiste-fisher Lcsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DACIA LEE ANTISTE-FISHER LCSW (NPI 1104255637) is an individual clinical provider in Polson, Montana, licensed in Montana (BBH-LCSW-LIC-30076) and active in the NPI registry since November 2013. She is enrolled in Medicare PECOS and is a graduate of Other (2002).

NPPES Registry Identity

NPI1104255637
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameDACIA LEE ANTISTE-FISHERCredential: LCSW
Location Address5 4TH AVE EPolson, MT 59860-2117
Mailing AddressP.o. Box 880St. Ignatius, MT 59865 · (406) 745-3525 · Fax (406) 745-3529
Phone(406) 745-3525
Fax(406) 745-3529
Sole ProprietorYes
Medical School CMSOtherGraduated 2002
Enumeration DateNovember 5, 2013
Last NPPES UpdateMarch 14, 20242 updates tracked since enumeration
NPPES CertifiedMarch 14, 2024
✔ NPI 1104255637 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in MT · BBH-LCSW-LIC-30076
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License 1930 (MT), LAC-LAC-LIC-1930 (MT)
5 4TH AVE E, Polson, MT 59860
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Other Names 1

Other Name (5)Dacia Lee Antiste Lac

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, PacificSource Health Plans.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dacia Lee Antiste-fisher Lcsw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9335584986
PECOS Enrollment IDI20240305002456
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Dacia Antiste-fisher reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Confederated Salish And Kootenai Tribes Of The Flathead Reservation
26 mi
Federally Qualified Health Center (FQHC)
35401 MISSION DRIVE
Saint Ignatius, MT 59865
  • Reassigned Medicare billing, Montana enrollment
  • 27 clinicians in this Medicare group
NPI 1952402208 (406) 745-3525

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 59860 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $56.81 – $172.26
Typical copayment $0.00 (range $14.20 – $43.06)
Most-billed visit code NA
Established Patient
$70.82 typical visit price
range $18.24 – $140.32
Typical copayment $17.70 (range $4.56 – $35.08)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JAIME LAWRENCE
Licensed Practical Nurse
5 4TH AVE E
POLSON, MT 59860
Lake County (406) 745-3525
MRS. MILISSA RENEE GRANDCHAMP NP
Nurse Practitioner (Family)
5 4TH AVE E
POLSON, MT 59860
Lake County (406) 745-3525
DR. AIMEE JEAN GUSTAFSON D.D.S.
Dentist
5 4TH AVE E
POLSON, MT 59860
Lake County (406) 745-3525
DR. STEPHANIE TAYLOR MCDONALD PHARMD
Pharmacist
5 4TH AVE E
POLSON, MT 59860
Lake County (406) 883-5482
DR. DAVID J. SIEVERT D.D.S.
Dentist
5 4TH AVE E
POLSON, MT 59860
Lake County (406) 883-5541
DR. SANDRA FISHER PHARM. D.
Pharmacist
5 4TH AVE E
POLSON, MT 59860
Lake County (406) 883-5482
BOBBI JO BLACKWEASEL R.N
Registered Nurse
5 4TH AVE E
POLSON, MT 59860
Lake County (406) 745-3525
AALIYAH CUNNINGHAM RN
Registered Nurse
5 4TH AVE E
POLSON, MT 59860
Lake County (406) 745-3525

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Dacia Antiste-fisher's NPI number?

The NPI number for Dacia Antiste-fisher is 1104255637. It was assigned to this individual provider in the NPPES registry on November 5, 2013. The provider is also known as Dacia Lee Antiste Lac.

Where is Dacia Antiste-fisher located?

Dacia Antiste-fisher practices at 5 4th Ave E, Polson, MT 59860. The listed phone number is (406) 745-3525.

What is Dacia Antiste-fisher's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Dacia Antiste-fisher enrolled in Medicare?

Yes. Dacia Antiste-fisher is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Dacia Antiste-fisher's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Dacia Antiste-fisher reassigns Medicare benefits to Confederated Salish And Kootenai Tribes Of The Flathead Reservation (Saint Ignatius, MT). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Dacia Antiste-fisher's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Dacia Antiste-fisher accept?

Health plans from Blue Cross and Blue Shield of Montana and PacificSource Health Plans list Dacia Antiste-fisher as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Dacia Antiste-fisher was last updated on March 14, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.