SHAMYNE HOVER DUMOUCHEL FNP
NPI 1164708103
Nurse Practitioner - Family in Polson, MT

Q: What is Shamyne Dumouchel's NPI number?

The NPI number for Shamyne Dumouchel is 1164708103. It was assigned to this individual provider in the NPPES registry on October 21, 2011.

Q: What is Shamyne Dumouchel's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Shamyne Dumouchel was last updated on August 27, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since October 21, 2011PECOS EnrolledAccepts Medicare Assignment

106 RIDGEWATER DR STE A, POLSON, MT 59860(406) 752-7441(406) 257-0304 Get Directions Write a Review

NPPES record last updated: August 27, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Shamyne Hover Dumouchel Fnp NPPES

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

SHAMYNE HOVER DUMOUCHEL FNP (NPI 1164708103) is an individual family provider in Polson, Montana, licensed in Montana (NUR-APRN-LIC-174670) and active in the NPI registry since October 2011. She is enrolled in Medicare PECOS, is affiliated with Logan Health Medical Center, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1164708103

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameSHAMYNE HOVER DUMOUCHELCredential: FNP

Location Address106 RIDGEWATER DR STE APolson, MT 59860-8977

Mailing Address320 Sunnyview LnKalispell, MT 59901-3129 · (406) 752-7441 · Fax (406) 257-0304

Phone(406) 752-7441

Fax(406) 257-0304

Sole ProprietorNo

Medical School CMSOtherGraduated 2011

Enumeration DateOctober 21, 2011

Last NPPES UpdateAugust 27, 2021

NPPES CertifiedAugust 27, 2021

✔ NPI 1164708103 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

Licenses✔ Licensed in MT · NUR-APRN-LIC-174670✔ Licensed in CA · 21349

106 RIDGEWATER DR STE A, Polson, MT 59860

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Secondary Practice Locations 3

Location 1106 Ridgewater Dr Ste BPolson, MT 59860-8977 · Phone (406) 752-7441 · Fax (406) 257-0304

Location 2103 Whitewater Pl Ste CPolson, MT 59860-4502 · Phone (406) 752-7441 · Fax (406) 257-0304

Location 3320 Sunnyview LnKalispell, MT 59901-3129 · Phone (406) 752-7441 · Fax (406) 257-0304

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Mountain Health CO-OP, Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Shamyne Hover Dumouchel Fnp 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 ID9537320742

PECOS Enrollment IDI20210915001260

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.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

112 services57 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

56 services40 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Logan Health Medical Center

Acute Care Hospitals · Kalispell, MT

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number270051

Location310 Sunnyview LaneKalispell, MT 59901 · Flathead County

Emergency services Birthing friendly

St Luke Community Hospital

Critical Access Hospitals · Ronan, MT

OwnershipVoluntary non-profit - Private

CMS Certification Number271325

Location107 6th Ave SWRonan, MT 59864 · Lake County

Emergency services

Providence St Joseph Medical Center

Critical Access Hospitals · Polson, MT

OwnershipVoluntary non-profit - Private

CMS Certification Number271343

Location6 13th Ave EPolson, MT 59860 · Lake County

Emergency services Birthing friendly

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

$87.97 typical visit price

range $56.81 – $172.26

Typical copayment $21.99 (range $14.20 – $43.06)

Most-billed visit code 99203

Established Patient

$100.16 typical visit price

range $18.24 – $140.32

Typical copayment $25.04 (range $4.56 – $35.08)

Most-billed visit code 99214

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 10

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

JOSHUA RUSSELL PA-C

Physician Assistant