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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 1730325440
Internal Medicine in Missoula, MT

Active since December 30, 2008
2819 GREAT NORTHERN LOOP, SUITE 200, MISSOULA, MT 59808(406) 543-1197(406) 543-0515 Get Directions Write a Review

NPPES record last updated: September 17, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Providence Health & Services Mt NPPES

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

PROVIDENCE HEALTH & SERVICES MT (NPI 1730325440), doing business as Pmg Mt Montana Internal Med, is a healthcare organization registered as an internal medicine in Missoula, Montana and active in the NPI registry since December 2008. The organization lists Donald W Anderson, Assistant Secretary Enrollment, as its authorized official.

NPPES Registry Identity

NPI1730325440
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NamePROVIDENCE HEALTH & SERVICES MT
Location Address2819 GREAT NORTHERN LOOP, SUITE 200Missoula, MT 59808-1750
Mailing AddressPo Box 31001 - 4114Pasadena, CA 91110-4114 · (406) 327-1918 · Fax (406) 329-2937
Phone(406) 543-1197
Fax(406) 543-0515
Organization SubpartYesParent: Providence Health & Services
Authorized OfficialDonald W AndersonAssistant Secretary Enrollment · (425) 358-9786
Enumeration DateDecember 30, 2008
Last NPPES UpdateSeptember 17, 2026
NPPES CertifiedSeptember 17, 2026
✔ NPI 1730325440 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in MT · 0411866
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.
2819 GREAT NORTHERN LOOP, Missoula, MT 59808
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Other Names 2

Doing Business AsPmg Mt Montana Internal Med
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 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

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, 2 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
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 Medicare0.3 mi
Diana Jenkins, APRN
Nurse Practitioner
NPI 1285441998
2700 RADIO WAY
Missoula, MT 59808
(406) 541-3046
✔ PECOS✔ Accepts Medicare0.6 mi
Jamie Harding, APRN
Nurse Practitioner
NPI 1528132651
3075 N RESERVE ST SUITE 2
Missoula, MT 59808
(406) 327-1850
✔ PECOS✔ Accepts Medicare0.8 mi
Mallory Koula, MD
Family Practice
NPI 1467987727
3075 N RESERVE ST STE Q
Missoula, MT 59808
(406) 327-1850
✔ PECOS✔ Accepts Medicare0.8 mi
Sadie Russell
Nurse Practitioner
NPI 1578914396
3075 N RESERVE ST STE Q
Missoula, MT 59808
(406) 327-1850
✔ PECOS✔ Accepts Medicare0.8 mi
Jason Wissinger, MD
Family Practice
NPI 1639297674
3075 N RESERVE ST STE Q
Missoula, MT 59808
(406) 327-1850
✔ PECOS✔ Accepts Medicare0.8 mi
Alaina Cole
Nurse Practitioner
NPI 1649032731
3075 N RESERVE ST STE Q
Missoula, MT 59808
(406) 327-1850
✔ PECOS✔ Accepts Medicare0.8 mi
Maile Macaluso
Nurse Practitioner
NPI 1366914335
3075 N RESERVE ST STE Q
Missoula, MT 59808
(406) 327-1750
✔ PECOS✔ Accepts Medicare0.8 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
Rebecca Burke, M.D.
Hospice/Palliative Care
NPI 1255573374
601 W SPRUCE ST STE K
Missoula, MT 59802
(406) 327-1950
✔ PECOS✔ Accepts Medicare1.6 mi
Kristin Harko, NP
Nurse Practitioner
NPI 1457924433
601 W SPRUCE ST STE K
Missoula, MT 59802
(406) 327-1950
✔ 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
Sarah Koch, MD
Neurology
NPI 1043716426
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
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 1730325440. It was assigned to this organization in the NPPES registry on December 30, 2008. The provider is doing business as PMG MT Montana Internal Med and Providence Medical Group Montana.

Where is Providence Health & Services Mt located?

Providence Health & Services Mt is located at 2819 Great Northern Loop Suite 200, Missoula, MT 59808. The listed phone number is (406) 543-1197.

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, 2 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 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 47 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.