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MRS. JACI 'K' JEAN PHILLIPS FNP-BC
NPI 1396052379
Nurse Practitioner - Family in Broadus, MT

Active since September 11, 2010PECOS Enrolled
507 NORTH LINCOLN AVENUE, BROADUS, MT 59317(406) 436-2651 Get Directions Write a Review

NPPES record last updated: March 5, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mrs. Jaci 'k' Jean Phillips Fnp-bc NPPES

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

MRS. JACI 'K' JEAN PHILLIPS FNP-BC (NPI 1396052379) is an individual family provider in Broadus, Montana, licensed in Montana (24922) and active in the NPI registry since September 2010. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1396052379
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. JACI 'K' JEAN PHILLIPSCredential: FNP-BC
Location Address507 NORTH LINCOLN AVENUEBroadus, MT 59317-0489
Mailing Address507 North Lincoln Avenue, P.o. Box 489Broadus, MT 59317-0489 · (406) 436-2651
Phone(406) 436-2651
Sole ProprietorNo
Enumeration DateSeptember 11, 2010
Last NPPES UpdateMarch 5, 2015
✔ NPI 1396052379 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in MT · 24922
507 NORTH LINCOLN AVENUE, Broadus, MT 59317
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Jaci 'k' Jean Phillips Fnp-bc 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 59317 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

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

POWDER RIVER COUNTY
Clinic/Center (Rural Health)
507 NORTH LINCOLN AVENUE
BROADUS, MT 59317
Powder River County (406) 436-2651

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 Jaci Phillips's NPI number?

The NPI number for Jaci Phillips is 1396052379. It was assigned to this individual provider in the NPPES registry on September 11, 2010.

Where is Jaci Phillips located?

Jaci Phillips practices at 507 North Lincoln Avenue, Broadus, MT 59317. The listed phone number is (406) 436-2651.

What is Jaci Phillips's specialty?

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

Is Jaci Phillips enrolled in Medicare?

Yes. Jaci Phillips is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jaci Phillips was last updated on March 5, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.