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JACQUELINE ROSE MCMAHON CNM
NPI 1255187720
Advanced Practice Midwife in Missoula, MT

Active since April 25, 2024PECOS Enrolled
2831 FORT MISSOULA RD STE 232, MISSOULA, MT 59804(406) 523-5650 Get Directions Write a Review

NPPES record last updated: December 10, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Dec 10, 2024, Apr 25, 2024 (2 updates tracked since 2024).

About Jacqueline Rose Mcmahon Cnm NPPES

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

JACQUELINE ROSE MCMAHON CNM (NPI 1255187720) is an individual advanced practice midwife in Missoula, Montana, licensed in Montana (APRN-246385) and active in the NPI registry since April 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1255187720
Entity TypeIndividualFemale
Primary Taxonomy367A00000X
Provider Legal NameJACQUELINE ROSE MCMAHONCredential: CNM
Location Address2831 FORT MISSOULA RD STE 232Missoula, MT 59804-7479
Mailing Address2230 South Ave WMissoula, MT 59801-6502 · (301) 288-1031
Phone(406) 523-5650
Sole ProprietorNo
Enumeration DateApril 25, 2024
Last NPPES UpdateDecember 10, 20242 updates tracked since enumeration
NPPES CertifiedNovember 25, 2024
✔ NPI 1255187720 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAdvanced Practice MidwifePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367A00000X
License✔ Licensed in MT · APRN-246385
Definition
Advanced practice midwifery encompasses the independent provision of care during pregnancy, childbirth, and the postpartum period; sexual and reproductive health; gynecologic health; and family planning services, including preconception care. Midwives also provide primary care for individuals from adolescence throughout the lifespan as well as care for the healthy newborn during the first 28 days of life. Midwives provide initial and ongoing comprehensive assessment, diagnosis, and treatment. Midwifery care includes health promotion, disease prevention, risk assessment and management, and individualized wellness education and counseling. Source: American College of Nurse-Midwives, www.midwife.org Additional Resources: See the American College of Nurse-Midwives, www.midwife.org, for more information on Certified Nurse-Midwives, Certified Midwives, the American Midwifery Certification Board (AMCB), and licensure.
2831 FORT MISSOULA RD STE 232, Missoula, MT 59804
Open in Google Maps ↗

Other Identifiers 1

OtherAPRN-246385MT · Cnm

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, PacificSource Health Plans and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jacqueline Rose Mcmahon Cnm is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Jacqueline Mcmahon reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Origin Health LLC
Same address
Maternal & Fetal Medicine
2831 FORT MISSOULA RD STE 232
Missoula, MT 59804
  • Reassigned Medicare billing, Montana enrollment
  • 16 clinicians in this Medicare group
NPI 1841835113 (406) 523-5650

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 59804 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
$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 9

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

NEXT02 LLC
Pediatrics
2831 FORT MISSOULA RD STE 232
MISSOULA, MT 59804
Missoula County (406) 404-8588
BRITTANY ROSS CNM
Advanced Practice Midwife
2831 FORT MISSOULA RD STE 232
MISSOULA, MT 59804
Missoula County (406) 523-5650
MR. STEPHEN GUY LOOSLI MSC
Specialist (Research Study)
2831 FORT MISSOULA RD STE 232
MISSOULA, MT 59804
Missoula County (406) 404-8588
HANNAH HVIZDZAK APRN, FNP
Nurse Practitioner (Family)
2831 FORT MISSOULA RD STE 232
MISSOULA, MT 59804
Missoula County (406) 523-5650
DR. CASSIE JO BRONSON DNP, WHNP-BC
Nurse Practitioner (Women's Health)
2831 FORT MISSOULA RD STE 232
MISSOULA, MT 59804
Missoula County (406) 523-5650
DR. MERLIN BARDETT FAUSETT M.D.
Obstetrics & Gynecology (Maternal & Fetal Medicine)
2831 FORT MISSOULA RD STE 232
MISSOULA, MT 59804
Missoula County (406) 523-5650
BOESON RESEARCH LLC
Clinic/Center (Research)
2831 FORT MISSOULA RD STE 232
MISSOULA, MT 59804
Missoula County (406) 763-8833
ERIN MARIE PENCE CNM, RN
Advanced Practice Midwife
2831 FORT MISSOULA RD STE 232
MISSOULA, MT 59804
Missoula County (406) 523-5650

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 Jacqueline Mcmahon's NPI number?

The NPI number for Jacqueline Mcmahon is 1255187720. It was assigned to this individual provider in the NPPES registry on April 25, 2024.

Where is Jacqueline Mcmahon located?

Jacqueline Mcmahon practices at 2831 Fort Missoula Rd Ste 232, Missoula, MT 59804. The listed phone number is (406) 523-5650.

What is Jacqueline Mcmahon's specialty?

The primary specialty registered for this NPI is Advanced Practice Midwife with taxonomy code 367A00000X.

Is Jacqueline Mcmahon enrolled in Medicare?

Yes. Jacqueline Mcmahon is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jacqueline Mcmahon's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jacqueline Mcmahon reassigns Medicare benefits to Origin Health LLC (Missoula, 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 Jacqueline Mcmahon's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jacqueline Mcmahon accept?

Health plans from Blue Cross and Blue Shield of Montana, Mountain Health CO-OP, PacificSource Health Plans and Providence Health Plan list Jacqueline Mcmahon 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 Jacqueline Mcmahon was last updated on December 10, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.