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EMILY DOROTHEA STOPKA FNP
NPI 1558872192
Nurse Practitioner - Family in Great Falls, MT

Active since October 23, 2017PECOS EnrolledAccepts Medicare Assignment
609 10TH AVE S, GREAT FALLS, MT 59405(406) 430-1040(406) 430-1041 Get Directions Write a Review

NPPES record last updated: March 1, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 1, 2023, Sep 17, 2021, Apr 5, 2021 and 2 more (5 updates tracked since 2017).

About Emily Dorothea Stopka Fnp NPPES

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

EMILY DOROTHEA STOPKA FNP (NPI 1558872192) is an individual family provider in Great Falls, Montana, licensed in Montana (149865) and active in the NPI registry since October 2017. She is enrolled in Medicare PECOS, is affiliated with Benefis Hospitals Inc, and maintains a secondary practice location in Great Falls.

NPPES Registry Identity

NPI1558872192
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameEMILY DOROTHEA STOPKACredential: FNP
Location Address609 10TH AVE SGreat Falls, MT 59405-4078
Mailing AddressPo Box 5515Portland, OR 97228-5515 · (210) 349-5577 · Fax (210) 491-2819
Phone(406) 430-1040
Fax(406) 430-1041
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateOctober 23, 2017
Last NPPES UpdateMarch 1, 20235 updates tracked since enumeration
NPPES CertifiedMarch 1, 2023
✔ NPI 1558872192 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 · 149865
609 10TH AVE S, Great Falls, MT 59405
Open in Google Maps ↗

Secondary Practice Location 1

Location 11101 26th St SGreat Falls, MT 59405-5161 · Phone (406) 731-8888

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Mountain Health CO-OP, Providence Health Plan.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

Emily Dorothea Stopka Fnp 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 ID9830457373
PECOS Enrollment IDI20200115000140
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 9

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 moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
147 services83 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
91 services91 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
52 services33 patients
Detection test by immunoassay technique for influenza virus 87400
An immunoassay test for influenza virus is a procedure that identifies the presence of the flu virus in your body. It uses your body's immune response to detect specific proteins (antigens) associated with the virus. This helps in early and accurate diagnosis of influenza.
32 services16 patients
Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus 87426
An immunoassay test for severe acute respiratory syndrome coronavirus is a diagnostic tool. It uses your body's immune response to detect the presence of the virus. It involves taking a sample, usually from your nose or throat, which is then analyzed in a lab for signs of the virus.
23 services22 patients
Respiratory infectious agent detection by rna for severe acute respiratory syndrome coronavirus 2 (covid 19), influenza a, influenza b, and respiratory syncytial virus, upper respiratory specimen, each reported as detected or not detected 0241U
This test detects the RNA of respiratory viruses, including COVID-19, Influenza A, Influenza B, and Respiratory Syncytial Virus, in an upper respiratory specimen. The test result will report if each virus is detected or not, helping in accurate diagnosis.
22 services21 patients

Hospital Affiliations CMS Care Compare

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

Benefis Hospitals Inc

Acute Care Hospitals · Great Falls, MT
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number270012
Location1101 26th St SGreat Falls, MT 59405 · Cascade County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 59405 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.

SIERRA BIGNELL PA-C
Physician Assistant
609 10TH AVE S
GREAT FALLS, MT 59405
Cascade County (406) 430-1040

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 Emily Stopka's NPI number?

The NPI number for Emily Stopka is 1558872192. It was assigned to this individual provider in the NPPES registry on October 23, 2017.

Where is Emily Stopka located?

Emily Stopka practices at 609 10th Ave S, Great Falls, MT 59405. The listed phone number is (406) 430-1040.

What is Emily Stopka's specialty?

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

Is Emily Stopka enrolled in Medicare?

Yes. Emily Stopka 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 Emily Stopka accept?

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

According to CMS data, Emily Stopka is affiliated with Benefis Hospitals Inc.

When was this NPI record last updated?

The NPPES record for Emily Stopka was last updated on March 1, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.