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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 1417198243
Obstetrics & Gynecology in Missoula, MT

Active since March 06, 2009
1211 S RESERVE ST STE 101, MISSOULA, MT 59801(406) 327-3057(406) 327-3231 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, Jun 20, 2025, May 6, 2025 (3 updates tracked since 2025).

About Providence Health & Services Mt NPPES

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

PROVIDENCE HEALTH & SERVICES MT (NPI 1417198243), doing business as Pmg Mt Women's Care Center, is a healthcare organization registered as an obstetrics & gynecology 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

NPI1417198243
Entity TypeOrganization
Primary Taxonomy207V00000X
Legal Business NamePROVIDENCE HEALTH & SERVICES MT
Location Address1211 S RESERVE ST STE 101Missoula, MT 59801-3103
Mailing AddressPo Box 31001-4114Pasadena, CA 91110-4114 · (406) 327-1918 · Fax (406) 329-2937
Phone(406) 327-3057
Fax(406) 327-3231
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 1417198243 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
1211 S RESERVE ST STE 101, Missoula, MT 59801
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Other Names 2

Doing Business AsPmg Mt Women's Care Center
Doing Business AsProvidence Medical Group Montana

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-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, 5 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
Samuel Matz, MD
Family Practice
NPI 1356963482
1211 S RESERVE ST STE 101
Missoula, MT 59801
(406) 327-3057
✔ PECOS✔ Accepts MedicareSame address
Kayleigh Anderson, APRN
Nurse Practitioner
NPI 1235808338
1211 S RESERVE ST STE 101
Missoula, MT 59801
(406) 327-3057
✔ PECOS✔ Accepts MedicareSame address
Libby Costello Gard, FNP
Nurse Practitioner
NPI 1326239195
1211 S RESERVE ST STE 101
Missoula, MT 59801
(406) 327-3057
✔ PECOS✔ Accepts MedicareSame address
Kathryn Foote, FNP
Nurse Practitioner
NPI 1568886844
1211 S RESERVE ST STE 101
Missoula, MT 59801
(406) 327-3057
✔ PECOS✔ Accepts MedicareSame address
Claire Frost, M.D.
Family Practice
NPI 1235571993
1211 S RESERVE ST STE 101
Missoula, MT 59801
(406) 327-3057
✔ PECOS✔ Accepts MedicareSame address
Ryan Dixon
Hospitalist
NPI 1417344276
2827 FORT MISSOULA RD
Missoula, MT 59804
(406) 728-4100
✔ PECOS✔ Accepts Medicare0.9 mi
Eric Larsen, D.O.
Hospitalist
NPI 1770998353
2827 FORT MISSOULA RD
Missoula, MT 59804
(406) 327-4171
✔ PECOS✔ Accepts Medicare0.9 mi
Lauren Wilson, M.D.
Pediatric Medicine
NPI 1740308428
2827 FORT MISSOULA RD PEDIATRICS
Missoula, MT 59804
(406) 728-4100
✔ PECOS0.9 mi
Hannah Yerxa, MD
Pediatric Medicine
NPI 1376004713
2827 FORT MISSOULA RD
Missoula, MT 59804
(406) 728-4100
✔ PECOS0.9 mi
Laurie Carter, MD
Pediatric Medicine
NPI 1134206089
2827 FORT MISSOULA RD
Missoula, MT 59804
(406) 327-4045
✔ PECOS1.0 mi
Lennard Wilson, M.D.
Neurology
NPI 1225023096
2835 FORT MISSOULA RD STE 203
Missoula, MT 59804
(406) 327-4091
✔ PECOS✔ Accepts Medicare1.1 mi
Brandi Glibbery, NP
Nurse Practitioner
NPI 1730656299
2835 FORT MISSOULA RD STE 303
Missoula, MT 59804
(406) 926-1088
✔ PECOS✔ Accepts Medicare1.1 mi
Siobhan Lynch, M.D.
Hematology/Oncology
NPI 1457543340
2837 FORT MISSOULA RD
Missoula, MT 59804
(406) 327-3911
✔ PECOS✔ Accepts Medicare1.1 mi
Elena Furrow, M.D.
Family Practice
NPI 1659333458
3017 PAXSON ST
Missoula, MT 59801
(406) 519-3422
✔ PECOS✔ Accepts Medicare1.3 mi
Kristin Spoon, MD
Sleep Medicine
NPI 1275633174
2829 GREAT NORTHERN LOOP STE 300
Missoula, MT 59808
(406) 541-7000
✔ PECOS✔ Accepts Medicare1.7 mi
Stephen Hardy, M.D.
Plastic and Reconstructive Surgery
NPI 1790735058
2802 GREAT NORTHERN LOOP
Missoula, MT 59808
(406) 728-3811
✔ PECOS1.7 mi
Charles Acher, MD
General Surgery
NPI 1033472519
500 W BROADWAY ST
Missoula, MT 59802
(406) 329-5828
✔ PECOS✔ Accepts Medicare2.1 mi
Jack Branston, MD
Emergency Medicine
NPI 1518464643
500 W BROADWAY ST
Missoula, MT 59802
(406) 329-5635
✔ PECOS✔ Accepts Medicare2.1 mi
Michael Rohrer, M.D.
Vascular Surgery
NPI 1881675882
500 W BROADWAY ST
Missoula, MT 59802
(406) 329-5615
✔ PECOS✔ Accepts Medicare2.1 mi
Claude Tonnerre, MD
Infectious Disease
NPI 1780879098
500 W BROADWAY ST
Missoula, MT 59802
(406) 327-1841
✔ PECOS✔ Accepts Medicare2.1 mi
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 1417198243. It was assigned to this organization in the NPPES registry on March 6, 2009. The provider is doing business as PMG MT Women's Care Center and Providence Medical Group Montana.

Where is Providence Health & Services Mt located?

Providence Health & Services Mt is located at 1211 S Reserve St Ste 101, Missoula, MT 59801. The listed phone number is (406) 327-3057.

What is Providence Health & Services Mt's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

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, 5 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.