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PROVIDENCE HEALTH & SERVICES MT
NPI 1649401076
Internal Medicine - Interventional Cardiology in Missoula, MT

Active since August 03, 2009
2829 GREAT NORTHERN LOOP, SUITE 300, MISSOULA, MT 59808(406) 541-7000 Get Directions Write a Review

NPPES record last updated: May 7, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 7, 2025, Dec 11, 2020 (2 updates tracked since 2020).

About Providence Health & Services Mt NPPES

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

PROVIDENCE HEALTH & SERVICES MT (NPI 1649401076), doing business as Pmg Mt Ihi Montana Cardiology, is a healthcare organization registered as an interventional cardiology in Missoula, Montana and active in the NPI registry since August 2009. The organization lists Donald W Anderson, Assistant Secretary Enrollments, as its authorized official.

NPPES Registry Identity

NPI1649401076
Entity TypeOrganization
Primary Taxonomy207RI0011X
Legal Business NamePROVIDENCE HEALTH & SERVICES MT
Location Address2829 GREAT NORTHERN LOOP, SUITE 300Missoula, MT 59808-1752
Mailing AddressPo Box 31001 - 4114Pasadena, CA 91110-4114
Phone(406) 541-7000
Organization SubpartYesParent: Providence Health & Services
Authorized OfficialDonald W AndersonAssistant Secretary Enrollments · (425) 358-9786
Enumeration DateAugust 3, 2009
Last NPPES UpdateMay 7, 20252 updates tracked since enumeration
NPPES CertifiedMay 7, 2025
✔ NPI 1649401076 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Interventional CardiologyAllopathic & Osteopathic Physicians
Taxonomy Code207RI0011X
Definition
An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system.
2829 GREAT NORTHERN LOOP, Missoula, MT 59808
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Other Names 2

Doing Business AsPmg Mt Ihi Montana Cardiology
Doing Business AsProvidence Medical Group Montana

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE 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

327

Medicare enrollment records show 327 clinicians reassign Medicare billing to Providence Health & Services Mt, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 217 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 Medicine18
General Surgery14
33 other specialties133

Nearest to this location (20)

See all 327
Kristin Spoon, MD
Sleep Medicine
NPI 1275633174
2829 GREAT NORTHERN LOOP STE 300
Missoula, MT 59808
(406) 541-7000
✔ PECOS✔ Accepts MedicareSame address
Kathryn Eriksson, FNP-C
Nurse Practitioner
NPI 1437709060
2829 GREAT NORTHERN LOOP STE 300
Missoula, MT 59808
(406) 541-7000
✔ PECOS✔ Accepts MedicareSame address
Stephen Hardy, M.D.
Plastic and Reconstructive Surgery
NPI 1790735058
2802 GREAT NORTHERN LOOP
Missoula, MT 59808
(406) 728-3811
✔ PECOS0.1 mi
Lindsay Kindelman Lande, FNP-B.C.
Nurse Practitioner
NPI 1689003691
2230 N RESERVE ST STE 110
Missoula, MT 59808
(406) 430-2035
✔ PECOS✔ Accepts Medicare0.2 mi
Diana Jenkins, APRN
Nurse Practitioner
NPI 1285441998
2700 RADIO WAY
Missoula, MT 59808
(406) 541-3046
✔ PECOS✔ Accepts Medicare0.5 mi
Jamie Harding, APRN
Nurse Practitioner
NPI 1528132651
3075 N RESERVE ST SUITE 2
Missoula, MT 59808
(406) 327-1850
✔ PECOS✔ Accepts Medicare0.7 mi
Mallory Koula, MD
Family Practice
NPI 1467987727
3075 N RESERVE ST STE Q
Missoula, MT 59808
(406) 327-1850
✔ PECOS✔ Accepts Medicare0.7 mi
Sadie Russell
Nurse Practitioner
NPI 1578914396
3075 N RESERVE ST STE Q
Missoula, MT 59808
(406) 327-1850
✔ PECOS✔ Accepts Medicare0.7 mi
Jason Wissinger, MD
Family Practice
NPI 1639297674
3075 N RESERVE ST STE Q
Missoula, MT 59808
(406) 327-1850
✔ PECOS✔ Accepts Medicare0.7 mi
Alaina Cole
Nurse Practitioner
NPI 1649032731
3075 N RESERVE ST STE Q
Missoula, MT 59808
(406) 327-1850
✔ PECOS✔ Accepts Medicare0.7 mi
Maile Macaluso
Nurse Practitioner
NPI 1366914335
3075 N RESERVE ST STE Q
Missoula, MT 59808
(406) 327-1750
✔ PECOS✔ Accepts Medicare0.7 mi
Meredith Lease, M.D.
Pediatric Medicine
NPI 1487727889
3075 N RESERVE ST STE Q
Missoula, MT 59808
(406) 327-1850
✔ PECOS0.8 mi
John Draper, M.D.
Critical Care (Intensivists)
NPI 1376767897
2825 STOCKYARD RD STE I-200
Missoula, MT 59808
(406) 728-8420
✔ PECOS✔ Accepts Medicare1.2 mi
Christopher Barton, MD
Anesthesiology
NPI 1770016107
2825 STOCKYARD RD STE I-200
Missoula, MT 59808
(406) 728-8420
✔ PECOS✔ Accepts Medicare1.2 mi
Margaret Girardi, LCSW
Clinical Social Worker
NPI 1356871503
725 W ALDER ST STE 14
Missoula, MT 59802
(406) 616-3969
✔ PECOS✔ Accepts Medicare1.5 mi
Aakriti Bertsche
Neurology
NPI 1013438902
601 W SPRUCE ST STE J
Missoula, MT 59802
(406) 327-3350
✔ PECOS✔ Accepts Medicare1.6 mi
Kevin Chin, D.O.
Family Practice
NPI 1003047960
601 W SPRUCE ST STE A
Missoula, MT 59802
(406) 728-3111
✔ PECOS✔ Accepts Medicare1.6 mi
Christopher Jons, MD
Hospice/Palliative Care
NPI 1407055130
601 W SPRUCE ST STE K
Missoula, MT 59802
(406) 543-7271
✔ PECOS✔ Accepts Medicare1.6 mi
Chelsey Miller, APRN
Nurse Practitioner
NPI 1225546070
601 W SPRUCE ST STE J
Missoula, MT 59802
(406) 327-3350
✔ PECOS✔ Accepts Medicare1.6 mi
John Harrison, PHD
Clinical Psychologist
NPI 1295750636
601 W SPRUCE ST STE K
Missoula, MT 59802
(406) 327-3330
✔ PECOS✔ Accepts Medicare1.6 mi
See all 327 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 1649401076. It was assigned to this organization in the NPPES registry on August 3, 2009. The provider is doing business as PMG MT IHI Montana Cardiology and Providence Medical Group Montana.

Where is Providence Health & Services Mt located?

Providence Health & Services Mt is located at 2829 Great Northern Loop Suite 300, Missoula, MT 59808. The listed phone number is (406) 541-7000.

What is Providence Health & Services Mt's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Interventional Cardiology, with taxonomy code 207RI0011X.

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), 327 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, 2 practice at this address and 217 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 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.