PROVIDENCE HEALTH & SERVICES MT
NPI 1518124379
Internal Medicine - Cardiovascular Disease in Anaconda, MT
About Providence Health & Services Mt NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PROVIDENCE HEALTH & SERVICES MT (NPI 1518124379), doing business as Providence Medical Group Montana, is a healthcare organization registered as a cardiovascular disease in Anaconda, Montana and active in the NPI registry since May 2008. The organization lists Donald Wayne Anderson, Assistant Secretary Enrollment, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 3
Other Names 2
Group Practice 1
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
325Medicare enrollment records show 325 clinicians reassign Medicare billing to Providence Health & Services Mt, which bills Medicare for the services they deliver. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 41
Nearest to this location (20)
See all 325Missoula, MT 59801
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 1518124379. It was assigned to this organization in the NPPES registry on May 20, 2008. The provider is doing business as Providence Medical Group Montana. The provider is also known as PMG MT IHI Anaconda.
Where is Providence Health & Services Mt located?
Providence Health & Services Mt is located at 1102 E Commercial Ave, Anaconda, MT 59711. The listed phone number is (406) 329-5615.
What is Providence Health & Services Mt's specialty?
The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.
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). Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Providence Health & Services Mt was last updated on May 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months 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.
# Providence Health & Services Mt · NPI 1518124379
Cardiovascular Disease organization in Anaconda, Montana. Organization record, active in the CMS NPPES registry since May 20, 2008.
## Identity
- **NPI:** 1518124379 (Entity type: Organization)
- **Enumerated:** May 20, 2008
- **Primary specialty:** Internal Medicine - Cardiovascular Disease · taxonomy 207RC0000X
- **Also known as:** PROVIDENCE MEDICAL GROUP MONTANA (Doing Business As); PMG MT IHI Anaconda (Other Name)
- **Organization subpart:** Yes (part of Providence Health & Services)
- **Authorized official:** Donald Anderson, ASSISTANT SECRETARY ENROLLMENT
## Practice location
- **Address:** 1102 E COMMERCIAL AVE, Anaconda, MT 59711-2718
- **Phone:** (406) 329-5615 · **Fax:** (406) 563-8601
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 325 clinicians in 41 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (66), Family Practice (22), Emergency Medicine (19); [full list](https://npiprofile.com/npi/1518124379/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 7, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1518124379) · Data from the CMS NPPES public registry.