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MR. DON STUART WIPF FNP-BC
NPI 1265602353
Nurse Practitioner - Family in Great Falls, MT

Active since March 05, 2008PECOS EnrolledAccepts Medicare Assignment
80.46/100
CMS Quality Rating
1609 41ST ST S, GREAT FALLS, MT 59405(605) 360-8477 Get Directions Write a Review

NPPES record last updated: August 30, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 20, 2017, Jan 14, 2016 (2 updates tracked since 2016).

About Mr. Don Stuart Wipf Fnp-bc NPPES

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

MR. DON STUART WIPF FNP-BC (NPI 1265602353) is an individual family provider in Great Falls, Montana, licensed in Montana (NUR-APRN-LIC-101945) and active in the NPI registry since March 2008. He is enrolled in Medicare PECOS, is affiliated with Benefis Hospitals Inc, and is a graduate of Other (2013).

NPPES Registry Identity

NPI1265602353
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameMR. DON STUART WIPFCredential: FNP-BC
Location Address1609 41ST ST SGreat Falls, MT 59405-5590
Mailing Address1400 29th St SGreat Falls, MT 59405-5315 · (406) 731-8888
Phone(605) 360-8477
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateMarch 5, 2008
Last NPPES UpdateAugust 30, 20212 updates tracked since enumeration
NPPES CertifiedAugust 30, 2021
✔ NPI 1265602353 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in MT · NUR-APRN-LIC-101945
Also ListedHospitalistTaxonomy 208M00000X · License 101945 (MT)
1609 41ST ST S, Great Falls, MT 59405
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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.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

Mr. Don Stuart Wipf Fnp-bc 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 ID840595138
PECOS Enrollment IDI20160224001875
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 3

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
185 services88 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
79 services55 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
78 services78 patients

Hospital Affiliations CMS Care Compare

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

Benefis Hospitals Inc

Acute Care Hospitals · Great Falls, MT
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number270012
Location1101 26th St SGreat Falls, MT 59405 · Cascade County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 59405 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

80.46/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality93.1
Promoting Interoperability75
Improvement Activities40
Cost62.61

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 Don Wipf's NPI number?

The NPI number for Don Wipf is 1265602353. It was assigned to this individual provider in the NPPES registry on March 5, 2008.

Where is Don Wipf located?

Don Wipf practices at 1609 41st St S, Great Falls, MT 59405. The listed phone number is (605) 360-8477.

What is Don Wipf's specialty?

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

Is Don Wipf enrolled in Medicare?

Yes. Don Wipf 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.

What insurance does Don Wipf accept?

Health plans from Blue Cross and Blue Shield of Montana and Mountain Health CO-OP list Don Wipf 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.

Is Don Wipf affiliated with any hospitals?

According to CMS data, Don Wipf is affiliated with Benefis Hospitals Inc.

When was this NPI record last updated?

The NPPES record for Don Wipf was last updated on August 30, 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.