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REJUVECARE CLINIC
NPI 1285002923
Nurse Practitioner in Kalispell, MT

Active since September 11, 2015
77 3RD AVENUE WEST N, KALISPELL, MT 59901(406) 240-7396 Get Directions Write a Review

NPPES record last updated: September 11, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Rejuvecare Clinic NPPES

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

REJUVECARE CLINIC (NPI 1285002923) is a healthcare organization registered as a nurse practitioner in Kalispell, Montana and active in the NPI registry since September 2015. The organization lists Shelley Smith Otoupalik, Owner, as its authorized official.

NPPES Registry Identity

NPI1285002923
Entity TypeOrganization
Primary Taxonomy363L00000X
Legal Business NameREJUVECARE CLINIC
Location Address77 3RD AVENUE WEST NKalispell, MT 59901-4049
Mailing Address7473 Grooms RdMissoula, MT 59808-9798 · (406) 240-7396
Phone(406) 240-7396
Organization SubpartNo
Authorized OfficialShelley Smith OtoupalikOwner · (406) 240-7396
Enumeration DateSeptember 11, 2015
✔ NPI 1285002923 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.
77 3RD AVENUE WEST N, Kalispell, MT 59901
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

JOHN ELLIS LMT, NMT
Massage Therapist
77 3RD AVENUE WEST N
KALISPELL, MT 59901
Flathead County (407) 752-3105

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 Rejuvecare Clinic's NPI number?

The NPI number for Rejuvecare Clinic is 1285002923. It was assigned to this organization in the NPPES registry on September 11, 2015.

Where is Rejuvecare Clinic located?

Rejuvecare Clinic is located at 77 3rd Avenue West N, Kalispell, MT 59901. The listed phone number is (406) 240-7396.

What is Rejuvecare Clinic'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 Rejuvecare Clinic was last updated on September 11, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.