1. Home
  2. Directory
  3. Montana
  4. Great Falls
  5. Pediatrics
  6. NPI Profile

MANUEL A PROENZA D.O.
NPI 1336401256
Pediatrics in Great Falls, MT

Active since June 15, 2012PECOS Enrolled
1101 26TH ST S, GREAT FALLS, MT 59405(406) 731-8888(406) 731-8318 Get Directions Write a Review

NPPES record last updated: June 27, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Manuel A Proenza D.o. NPPES

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

MANUEL A PROENZA D.O. (NPI 1336401256) is an individual pediatrics provider in Great Falls, Montana, licensed in Montana (142414) and active in the NPI registry since June 2012. He is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1336401256
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameMANUEL A PROENZACredential: D.O.
Location Address1101 26TH ST SGreat Falls, MT 59405-5161
Mailing AddressPo Box 6010Great Falls, MT 59406-6010 · (406) 731-8888
Phone(406) 731-8888
Fax(406) 731-8318
Sole ProprietorNo
Enumeration DateJune 15, 2012
Last NPPES UpdateJune 27, 2024
NPPES CertifiedJune 27, 2024
✔ NPI 1336401256 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Licenses✔ Licensed in MT · 142414✔ Licensed in NV · DO1964
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
1101 26TH ST S, Great Falls, MT 59405
Open in Google Maps ↗

Secondary Practice Locations 2

Location 12704 N Tenaya WayLas Vegas, NV 89128-0424 · Phone (702) 877-5199 · Fax (702) 459-0402
Location 22720 10th Ave SGreat Falls, MT 59405-3240 · Phone (406) 731-8888

Accepted Insurance

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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Manuel A Proenza D.o. 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.

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.

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.

OMER USMAN MD
Hospitalist
1101 26TH ST S
GREAT FALLS, MT 59405
Cascade County (406) 455-5000
EDMUND J BRENNAN MD
Internal Medicine (Clinical Cardiac Electrophysiology)
1101 26TH ST S
GREAT FALLS, MT 59405
Cascade County (406) 731-8888
MRS. DELENE R LYNES OTA
Occupational Therapy Assistant
1101 26TH ST S
GREAT FALLS, MT 59405
Cascade County (406) 455-5412
DANIEL KNUFFKE
Occupational Therapist
1101 26TH ST S
GREAT FALLS, MT 59405
Cascade County (406) 781-1305
KRISTIN HUNTOON D.O, PHD
Neurological Surgery
1101 26TH ST S
GREAT FALLS, MT 59405
Cascade County (406) 455-5000
PATRICK HUGH SMITH FNP-BC
Nurse Practitioner (Family)
1101 26TH ST S
GREAT FALLS, MT 59405
Cascade County (406) 455-5000
DR. SAMANTHA ANNE BASCO PHARMD
Pharmacist
1101 26TH ST S
GREAT FALLS, MT 59405
Cascade County (406) 455-5430
KELCIE LEE FOSHAG DO
Radiology (Diagnostic Radiology)
1101 26TH ST S
GREAT FALLS, MT 59405
Cascade County (406) 455-5000

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 Manuel Proenza's NPI number?

The NPI number for Manuel Proenza is 1336401256. It was assigned to this individual provider in the NPPES registry on June 15, 2012.

Where is Manuel Proenza located?

Manuel Proenza practices at 1101 26th St S, Great Falls, MT 59405. The listed phone number is (406) 731-8888.

What is Manuel Proenza's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Manuel Proenza enrolled in Medicare?

Yes. Manuel Proenza is registered in the Medicare PECOS enrollment system.

What insurance does Manuel Proenza accept?

Health plans from Blue Cross and Blue Shield of Montana and Providence Health Plan list Manuel Proenza 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 Manuel Proenza was last updated on June 27, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.