MISSION VALLEY WELLNESS, PLLC
NPI 1639982796
Clinic/Center - Health Service in Ronan, MT

Active since January 30, 2025
206 MAIN ST SW, RONAN, MT 59864(406) 676-0244 Get Directions Write a Review

NPPES record last updated: January 30, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Mission Valley Wellness, Pllc NPPES

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

MISSION VALLEY WELLNESS, PLLC (NPI 1639982796) is a healthcare organization registered as a health service in Ronan, Montana and active in the NPI registry since January 2025. The organization lists Diamond Tiea Fern Courville, Owner, as its authorized official.

NPPES Registry Identity

NPI1639982796
Entity TypeOrganization
Primary Taxonomy261QH0100X
Legal Business NameMISSION VALLEY WELLNESS, PLLC
Location Address206 MAIN ST SWRonan, MT 59864-2705
Mailing AddressPo Box 252Ronan, MT 59864-0252 · (406) 676-0244
Organization SubpartNo
Authorized OfficialDiamond Tiea Fern CourvilleOwner · (406) 676-0244
Enumeration DateJanuary 30, 2025
NPPES CertifiedJanuary 30, 2025
✔ NPI 1639982796 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Health ServiceAmbulatory Health Care Facilities
Taxonomy Code261QH0100X
206 MAIN ST SW, Ronan, MT 59864

Other Names 2

Doing Business AsMission Valley Wellness, Pllc
Other NameMisson Valley Wellness, Pllc

Accepted 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)

Mission Valley Wellness, Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Mission Valley Wellness, PLLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Nurse Practitioner
NPI 1770074478
143 GARDEN HOMES DR
Colville, WA 99114
(509) 684-3701
✔ PECOS✔ Accepts Medicare189 mi

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 Mission Valley Wellness, PLLC's NPI number?

The NPI number for Mission Valley Wellness, PLLC is 1639982796. It was assigned to this organization in the NPPES registry on January 30, 2025. The provider is also known as Misson Valley Wellness, PLLC.

Where is Mission Valley Wellness, PLLC located?

Mission Valley Wellness, PLLC is located at 206 Main St SW, Ronan, MT 59864. The listed phone number is (406) 676-0244.

What is Mission Valley Wellness, PLLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Health Service, with taxonomy code 261QH0100X.

Is Mission Valley Wellness, PLLC enrolled in Medicare?

Yes. Mission Valley Wellness, PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Mission Valley Wellness, PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Mission Valley Wellness, PLLC. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Mission Valley Wellness, PLLC accept?

Health plans from Blue Cross and Blue Shield of Montana list Mission Valley Wellness, PLLC 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 Mission Valley Wellness, PLLC was last updated on January 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.