PROVIDENCE HEALTH & SERVICES MT
NPI 1174074827
Nurse Practitioner in Missoula, MT

Q: What is Providence Health & Services Mt's NPI number?

The NPI number for Providence Health & Services Mt is 1174074827. It was assigned to this organization in the NPPES registry on October 18, 2016. The provider is doing business as Providence Health Express.

Q: What is Providence Health & Services Mt's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Active since October 18, 2016

500 W BROADWAY ST, MISSOULA, MT 59802(406) 543-7271 Get Directions Write a Review

NPPES record last updated: May 5, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 5, 2025, Oct 18, 2016 (2 updates tracked since 2016).

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About Providence Health & Services Mt NPPES

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

PROVIDENCE HEALTH & SERVICES MT (NPI 1174074827), doing business as Providence Health Express, is a healthcare organization registered as a nurse practitioner in Missoula, Montana and active in the NPI registry since October 2016. The organization lists Donald W Anderson, Assistant Secretary Enrollments, as its authorized official.

NPPES Registry Identity

NPI1174074827

Entity TypeOrganization

Primary Taxonomy363L00000X

Legal Business NamePROVIDENCE HEALTH & SERVICES MT

Location Address500 W BROADWAY STMissoula, MT 59802-4008

Mailing AddressPo Box 12Liberty Lake, WA 99019-0012 · (866) 747-2455

Phone(406) 543-7271

Organization SubpartNo

Authorized OfficialDonald W AndersonAssistant Secretary Enrollments · (425) 358-9786

Enumeration DateOctober 18, 2016

Last NPPES UpdateMay 5, 20252 updates tracked since enumeration

NPPES CertifiedMay 5, 2025

✔ NPI 1174074827 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

500 W BROADWAY ST, Missoula, MT 59802

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Other Names 1

Doing Business AsProvidence Health Express

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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.

SIMONE MUSCO MD

Internal Medicine (Clinical Cardiac Electrophysiology)

500 W BROADWAY ST, STE 320
MISSOULA, MT 59802

Missoula County (406) 329-5615

PROVIDENCE HEALTH & SERVICES MT

General Acute Care Hospital

500 W BROADWAY ST
MISSOULA, MT 59802

Missoula County (406) 543-7271

JAMIE BELKOWSKI PHARMACIST

Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)

500 W BROADWAY ST
MISSOULA, MT 59802

Missoula County (406) 543-7271

DR. DESIREE NICOLE OWSLEY PHARMD

Pharmacist (Pharmacotherapy)

500 W BROADWAY ST
MISSOULA, MT 59802

Missoula County (406) 327-1650

JEANNIE H SWAIN PHARMD

Pharmacist (Pharmacotherapy)

500 W BROADWAY ST
MISSOULA, MT 59802

Missoula County (406) 329-5721

HEATHER HIGHTOWER NP

Nurse Practitioner (Family)

500 W BROADWAY ST
MISSOULA, MT 59802

Missoula County (406) 728-2539

MR. CURTIS G WICKRE MD

Internal Medicine (Nephrology)

500 W BROADWAY ST, 4TH FLOOR
MISSOULA, MT 59802

Missoula County (406) 327-1900

DR. TRAVIS OWEN ABICHT MD

Thoracic Surgery (Cardiothoracic Vascular Surgery)

500 W BROADWAY ST
MISSOULA, MT 59802

Missoula County (406) 329-5615

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 Providence Health & Services Mt's NPI number?

The NPI number for Providence Health & Services Mt is 1174074827. It was assigned to this organization in the NPPES registry on October 18, 2016. The provider is doing business as Providence Health Express.

Where is Providence Health & Services Mt located?

Providence Health & Services Mt is located at 500 W Broadway St, Missoula, MT 59802. The listed phone number is (406) 543-7271.

What is Providence Health & Services Mt's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

When was this NPI record last updated?

The NPPES record for Providence Health & Services Mt was last updated on May 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.