Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

PROVIDENCE HEALTH & SERVICES MT
NPI 1336380161
Internal Medicine - Infectious Disease in Missoula, MT

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

The NPI number for Providence Health & Services Mt is 1336380161. It was assigned to this organization in the NPPES registry on March 6, 2009. The provider is doing business as PMG MT Infection Disease and Providence Medical Group Montana.

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

The primary specialty registered for this NPI is Internal Medicine, specializing in Infectious Disease, with taxonomy code 207RI0200X.

Active since March 06, 2009

902 N ORANGE ST STE 207, MISSOULA, MT 59802(406) 321-1732(425) 687-3615 Get Directions Write a Review

NPPES record last updated: September 16, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Sep 16, 2026, May 6, 2025, Apr 1, 2019 (3 updates tracked since 2019).

On this page

About Providence Health & Services Mt NPPES

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

PROVIDENCE HEALTH & SERVICES MT (NPI 1336380161), doing business as Pmg Mt Infection Disease, is a healthcare organization registered as an infectious disease in Missoula, Montana and active in the NPI registry since March 2009. The organization lists Donald Wayne Anderson, Assistant Secretary Enrollments, as its authorized official.

NPPES Registry Identity

NPI1336380161

Entity TypeOrganization

Primary Taxonomy207RI0200X

Legal Business NamePROVIDENCE HEALTH & SERVICES MT

Location Address902 N ORANGE ST STE 207Missoula, MT 59802-2928

Mailing AddressPo Box 31001 - 4114Pasadena, CA 91110-4114

Phone(406) 321-1732

Fax(425) 687-3615

Organization SubpartYesParent: Providence Health & Services

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

Enumeration DateMarch 6, 2009

Last NPPES UpdateSeptember 16, 20263 updates tracked since enumeration

NPPES CertifiedSeptember 16, 2026

✔ NPI 1336380161 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Infectious DiseaseAllopathic & Osteopathic Physicians

Taxonomy Code207RI0200X

Definition

An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine.

902 N ORANGE ST STE 207, Missoula, MT 59802

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Other Names 2

Doing Business AsPmg Mt Infection Disease

Doing Business AsProvidence Medical Group Montana

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Providence Health & Services Mt is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

325

Medicare enrollment records show 325 clinicians reassign Medicare billing to Providence Health & Services Mt, which bills Medicare for the services they deliver. Of these, 44 practice at this address and 216 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 41

Nurse Practitioner66

Family Practice22

Emergency Medicine19

Neurology19

Cardiovascular Disease (Cardiology)18

Clinical Social Worker18

Internal Medicine17

General Surgery14

33 other specialties132

Nearest to this location (20)

See all 325

Adeline Wakeman, ARNP

Nurse Practitioner

NPI 1427301589

902 N ORANGE ST
Missoula, MT 59802

(206) 713-6495

✔ PECOS✔ Accepts MedicareSame address

Michele Danicich, MD

Endocrinology

NPI 1053321273

900 N ORANGE ST STE 304
Missoula, MT 59802

(406) 329-5781

✔ PECOS✔ Accepts MedicareSame address

Barbara Mcgee, APRN

Nurse Practitioner

NPI 1154957850

900 N ORANGE ST STE 304
Missoula, MT 59802

(406) 329-5781

✔ PECOS✔ Accepts MedicareSame address

Steven Wheeler, FNP

Nurse Practitioner

NPI 1164015624

900 N ORANGE ST STE 106
Missoula, MT 59802

(406) 327-3100

✔ PECOS✔ Accepts MedicareSame address

Brooks Baer, LCPC

Mental Health Counselor

NPI 1003821976

902 N ORANGE ST SUITE 102
Missoula, MT 59802

(406) 327-3034

✔ PECOS✔ Accepts MedicareSame address

Christine Bond, MS, RD

Registered Dietitian or Nutrition Professional

NPI 1407288293

900 N ORANGE ST 3RD FLOOR, SUITE 303
Missoula, MT 59802

(406) 327-3031

✔ Accepts MedicareSame address

Rino Buzzola, M.D.

Endocrinology

NPI 1730451287

900 N ORANGE ST STE 304
Missoula, MT 59802

(406) 329-5781

✔ PECOS✔ Accepts MedicareSame address

Dylan Claxton, MSW, LCSW

Clinical Social Worker

NPI 1346859931

900 N ORANGE ST
Missoula, MT 59802

(406) 329-5776

✔ PECOSSame address

Blair Davison

Psychiatry

NPI 1881812378

900 N ORANGE ST STE 202
Missoula, MT 59802

(406) 327-3362

✔ PECOS✔ Accepts MedicareSame address

Nicholas Freudenberg, M.D.

Psychiatry

NPI 1578858866

900 N ORANGE ST STE 202
Missoula, MT 59802

(406) 327-1670

✔ PECOS✔ Accepts MedicareSame address

Yvette Heintz

Clinical Social Worker

NPI 1508335373

900 N ORANGE ST STE 102
Missoula, MT 59802

(406) 327-3034

✔ PECOS✔ Accepts MedicareSame address

Thomas Hodgetts, LCSW

Clinical Social Worker

NPI 1962791533

900 N ORANGE ST STE 102
Missoula, MT 59802

(406) 327-3034

✔ PECOS✔ Accepts MedicareSame address

Rebecca Hoover, MD

Family Practice

NPI 1972502003

900 N ORANGE ST SUITE 303
Missoula, MT 59802

(406) 543-7271

✔ PECOS✔ Accepts MedicareSame address

Nicholas Hurst, MD, MS

Psychiatry

NPI 1073855763

900 N ORANGE ST STE 202
Missoula, MT 59802

(406) 377-3362

✔ PECOSSame address

Emily Mccrea Ployhar, MA, LCPC

Mental Health Counselor

NPI 1194808105

900 N ORANGE ST STE 102
Missoula, MT 59802

(406) 327-3034

✔ PECOS✔ Accepts MedicareSame address

Ryan Nahapetian, MD, MPH

Pulmonary Disease

NPI 1720384209

900 N ORANGE ST STE 106
Missoula, MT 59802

(406) 327-3100

✔ PECOS✔ Accepts MedicareSame address

Erica Rubino, RD

Registered Dietitian or Nutrition Professional

NPI 1043863319

900 N ORANGE ST STE 304
Missoula, MT 59802

(406) 329-5781

✔ Accepts MedicareSame address

John Schaeffer, D.O

Neurology

NPI 1770536872

900 N ORANGE ST THIRD FLOOR
Missoula, MT 59802

(406) 327-3379

✔ PECOSSame address

Ingrid Hazlett, APRN, AGCNS-BC

Certified Clinical Nurse Specialist (CNS)

NPI 1134585102

900 N ORANGE ST STE 304
Missoula, MT 59802

(406) 329-5781

✔ PECOS✔ Accepts MedicareSame address

Stephanie Sari, M.D.

Pediatric Medicine

NPI 1326241241

900 N ORANGE ST STE 303
Missoula, MT 59802

(406) 327-7337

✔ PECOSSame address

See all 325 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 1336380161. It was assigned to this organization in the NPPES registry on March 6, 2009. The provider is doing business as PMG MT Infection Disease and Providence Medical Group Montana.

Where is Providence Health & Services Mt located?

Providence Health & Services Mt is located at 902 N Orange St Ste 207, Missoula, MT 59802. The listed phone number is (406) 321-1732.

What is Providence Health & Services Mt's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Infectious Disease, with taxonomy code 207RI0200X.

Is Providence Health & Services Mt enrolled in Medicare?

Yes. Providence Health & Services Mt is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Providence Health & Services Mt?

According to the CMS Revalidation Reassignment List (October 2026 release), 325 clinicians in 41 Medicare specialties reassign their Medicare billing to Providence Health & Services Mt. A 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 the clinician's services. The largest specialties are Nurse Practitioner (66), Family Practice (22) and Emergency Medicine (19). Of these, 44 practice at this address and 216 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Providence Health & Services Mt accept?

Health plans from Blue Cross and Blue Shield of Montana list Providence Health & Services Mt 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 Providence Health & Services Mt was last updated on September 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 53 days 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.