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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 1427281203
Internal Medicine in Missoula, MT

Active since August 27, 2009
500 W BROADWAY ST FL 4, MISSOULA, MT 59802(406) 327-1940 Get Directions Write a Review

NPPES record last updated: September 16, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 16, 2026, May 6, 2025 (2 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 1427281203), doing business as Pmg Mt Broadway Internal Med, is a healthcare organization registered as an internal medicine in Missoula, Montana and active in the NPI registry since August 2009. The organization lists Donald Wayne Anderson, Assistant Secretary Enrollments, as its authorized official.

NPPES Registry Identity

NPI1427281203
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NamePROVIDENCE HEALTH & SERVICES MT
Location Address500 W BROADWAY ST FL 4Missoula, MT 59802-4008
Mailing AddressPo Box 31001 - 4114Pasadena, CA 91110-4114
Phone(406) 327-1940
Organization SubpartYesParent: Providence Health & Services
Authorized OfficialDonald Wayne AndersonAssistant Secretary Enrollments · (425) 358-9786
Enumeration DateAugust 27, 2009
Last NPPES UpdateSeptember 16, 20262 updates tracked since enumeration
NPPES CertifiedSeptember 16, 2026
✔ NPI 1427281203 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
500 W BROADWAY ST FL 4, Missoula, MT 59802
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Other Names 2

Doing Business AsPmg Mt Broadway Internal Med
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, 16 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
Bryan Davis
Pain Management
NPI 1205361276
500 W BROADWAY ST # 3
Missoula, MT 59802
(406) 327-1670
✔ PECOS✔ Accepts MedicareSame address
Kasey Harbine, MD
Hospitalist
NPI 1598717563
500 W BROADWAY ST
Missoula, MT 59802
(406) 327-1613
✔ PECOS✔ Accepts MedicareSame address
Heather Hightower, NP
Nurse Practitioner
NPI 1033094313
500 W BROADWAY ST
Missoula, MT 59802
(406) 728-2539
✔ PECOS✔ Accepts MedicareSame address
Charlotte Nelson, MD
Hospitalist
NPI 1033395546
500 W BROADWAY ST
Missoula, MT 59802
(406) 327-1613
✔ PECOS✔ Accepts MedicareSame address
Aurora Norman, MD
Hematology/Oncology
NPI 1053976514
500 W BROADWAY ST
Missoula, MT 59802
(406) 728-2539
✔ PECOS✔ Accepts MedicareSame address
Tara Obrien, MD
Hospitalist
NPI 1871727560
500 W BROADWAY ST
Missoula, MT 59802
(406) 543-7271
✔ PECOS✔ Accepts MedicareSame address
Alexis Snyder, ARNP
Nurse Practitioner
NPI 1255944278
500 W BROADWAY ST
Missoula, MT 59802
(406) 543-7271
✔ PECOS✔ Accepts MedicareSame address
Jeffrey Stephenson, MD
Radiation Oncology
NPI 1053312900
500 W BROADWAY ST
Missoula, MT 59802
(406) 329-5655
✔ PECOS✔ Accepts MedicareSame address
Ryan Bachofer, MD
General Surgery
NPI 1700444197
500 W BROADWAY ST FL 4BB
Missoula, MT 59802
(406) 329-5828
✔ PECOS✔ Accepts MedicareSame address
Puneet Bansal, M.D.
Cardiovascular Disease (Cardiology)
NPI 1417230855
500 W BROADWAY ST STE 320
Missoula, MT 59802
(406) 329-5615
✔ PECOS✔ Accepts MedicareSame address
Rachel Cain
Nurse Practitioner
NPI 1588331722
500 W BROADWAY ST STE 320
Missoula, MT 59802
(406) 329-5615
✔ PECOS✔ Accepts MedicareSame address
Riley Grogan, MD
General Surgery
NPI 1669935631
500 W BROADWAY ST FL 4BB
Missoula, MT 59802
(406) 329-5828
✔ PECOS✔ Accepts MedicareSame address
Tara Lynch, FNP-C
Nurse Practitioner
NPI 1457089856
500 W BROADWAY ST
Missoula, MT 59802
(406) 329-5005
✔ PECOS✔ Accepts MedicareSame address
Nicholas Mantini
Cardiac Electrophysiology
NPI 1588808646
500 W BROADWAY ST STE 320
Missoula, MT 59802
(406) 329-5615
✔ PECOS✔ Accepts MedicareSame address
Abigail Mansch, M.D.
Internal Medicine
NPI 1033640370
500 W BROADWAY ST
Missoula, MT 59802
(406) 543-7271
✔ PECOS✔ Accepts MedicareSame address
Joseph Miller, MD
Internal Medicine
NPI 1548797152
500 W BROADWAY ST
Missoula, MT 59802
(406) 543-7271
✔ PECOS✔ Accepts MedicareSame address
Travis Abicht, MD
Thoracic Surgery
NPI 1033239835
500 W BROADWAY ST
Missoula, MT 59802
(406) 329-5615
✔ PECOS✔ Accepts Medicare0.1 mi
Alissa Monaco, APRN-FNP-C
Nurse Practitioner
NPI 1396487294
500 W BROADWAY ST STE 320
Missoula, MT 59802
(406) 329-5615
✔ PECOS✔ Accepts Medicare0.1 mi
Brooks Baer, LCPC
Mental Health Counselor
NPI 1003821976
902 N ORANGE ST SUITE 102
Missoula, MT 59802
(406) 327-3034
✔ PECOS✔ Accepts Medicare0.6 mi
Nora Abdullah, MD
Psychiatry
NPI 1295354298
900 N ORANGE ST STE 202
Missoula, MT 59802
(406) 327-3362
✔ PECOS✔ Accepts Medicare0.6 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 1427281203. It was assigned to this organization in the NPPES registry on August 27, 2009. The provider is doing business as PMG MT Broadway Internal Med and Providence Medical Group Montana.

Where is Providence Health & Services Mt located?

Providence Health & Services Mt is located at 500 W Broadway St Fl 4, Missoula, MT 59802. The listed phone number is (406) 327-1940.

What is Providence Health & Services Mt's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

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, 16 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 37 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.