CARLEY HENNESSY
NPI 1407227101
Physician Assistant - Surgical in Williston, ND

Active since October 07, 2015PECOS EnrolledAccepts Medicare Assignment
94.3/100
CMS Quality Rating
1700 11TH ST W, WILLISTON, ND 58801(701) 774-7687 Get Directions Write a Review

NPPES record last updated: December 14, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Carley Hennessy NPPES

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

CARLEY HENNESSY (NPI 1407227101) is an individual surgical provider in Williston, North Dakota, licensed in Montana (MED-PAC-LIC-76234) and active in the NPI registry since October 2015. She is enrolled in Medicare PECOS, is affiliated with Billings Clinic, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1407227101
Entity TypeIndividualFemale
Primary Taxonomy363AS0400X
Provider Legal NameCARLEY HENNESSY
Location Address1700 11TH ST WWilliston, ND 58801-4500
Mailing Address1700 11th St WWilliston, ND 58801-4500 · (701) 774-7687
Sole ProprietorYes
Medical School CMSOtherGraduated 2015
Enumeration DateOctober 7, 2015
Last NPPES UpdateDecember 14, 2021
NPPES CertifiedDecember 14, 2021
NPI 1407227101 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License Licensed in MT · MED-PAC-LIC-76234
Also ListedPhysician AssistantTaxonomy 363A00000X · License PAC0617 (ND)
1700 11TH ST W, Williston, ND 58801

Other Names 1

Former Name (1)Carley Buttelman Pa-c

Accepted 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

Carley Hennessy 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 ID6406156348
PECOS Enrollment IDI20200207000229
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 2

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
36 services23 patients
Cervical or vaginal cancer screening; pelvic and clinical breast examination G0101
This procedure involves checking for health issues in the lower abdomen and chest area. It helps identify early signs of certain conditions, increasing the chance for successful treatment. It's a routine check-up that's important for maintaining good health.
25 services25 patients

Hospital Affiliations CMS Care Compare 2

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

Billings Clinic

Acute Care Hospitals · Billings, MT
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number270004
Location2800 10th Ave NBillings, MT 59101 · Yellowstone County
Emergency services Birthing friendly

Bozeman Health Deaconess Hospital

Acute Care Hospitals · Bozeman, MT
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number270057
Location915 Highland Blvd Suite 3310Bozeman, MT 59715 · Gallatin County
Emergency services Birthing friendly

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.

94.3/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality85.58
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 7

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

Obstetrics & Gynecology
1700 11TH ST W
WILLISTON, ND 58801
Registered Nurse (Diabetes Educator)
1700 11TH ST W
WILLISTON, ND 58801
Obstetrics & Gynecology
1700 11TH ST W
WILLISTON, ND 58801
Obstetrics & Gynecology
1700 11TH ST W
WILLISTON, ND 58801
Advanced Practice Midwife
1700 11TH ST W
WILLISTON, ND 58801
Student in an Organized Health Care Education/Training Program
1700 11TH ST W
WILLISTON, ND 58801
Registered Nurse (Diabetes Educator)
1700 11TH ST W
WILLISTON, ND 58801

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 Carley Hennessy's NPI number?

The NPI number for Carley Hennessy is 1407227101. It was assigned to this individual provider in the NPPES registry on October 7, 2015. The provider is also known as Carley Buttelman Pa-C.

Where is Carley Hennessy located?

Carley Hennessy practices at 1700 11th St W, Williston, ND 58801. The listed phone number is (701) 774-7687.

What is Carley Hennessy's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Carley Hennessy enrolled in Medicare?

Yes. Carley Hennessy 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 Carley Hennessy accept?

Health plans from Blue Cross and Blue Shield of Montana, Mountain Health CO-OP and Providence Health Plan list Carley Hennessy 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 Carley Hennessy affiliated with any hospitals?

According to CMS data, Carley Hennessy is affiliated with Billings Clinic and Bozeman Health Deaconess Hospital.

When was this NPI record last updated?

The NPPES record for Carley Hennessy was last updated on December 14, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.