PROVIDENCE HEALTH & SERVICES MT
NPI 1790931517
Family Medicine in Missoula, 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 1790931517), doing business as Pmg Mt Grant Creek Family Med, is a healthcare organization registered as a family medicine in Missoula, Montana and active in the NPI registry since August 2008. The organization lists Donald W Anderson, Assistant Secretary Enrollment, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 2
Other Identifiers 1
Group Practice 1
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)
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. Of these, 7 practice at this address and 216 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 41
Nearest to this location (20)
See all 325Source: 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 1790931517. It was assigned to this organization in the NPPES registry on August 12, 2008. The provider is doing business as PMG MT Grant Creek Family Med and Providence Medical Group Montana.
Where is Providence Health & Services Mt located?
Providence Health & Services Mt is located at 3075 N Reserve St Suite Q, Missoula, MT 59808. The listed phone number is (406) 327-1850.
What is Providence Health & Services Mt's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
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, 7 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 May 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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 1790931517
Family Medicine organization in Missoula, Montana. Organization record, active in the CMS NPPES registry since August 12, 2008.
## Identity
- **NPI:** 1790931517 (Entity type: Organization)
- **Enumerated:** August 12, 2008
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Also known as:** PMG MT Grant Creek Family Med (Doing Business As); PROVIDENCE MEDICAL GROUP MONTANA (Doing Business As)
- **Organization subpart:** Yes (part of Providence Health & Services)
- **Authorized official:** Donald Anderson, ASSISTANT SECRETARY ENROLLMENT
## Practice location
- **Address:** 3075 N RESERVE ST, SUITE Q, Missoula, MT 59808-1390
- **Phone:** (406) 327-1850 · **Fax:** (406) 327-1875
## 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); 7 practice at this address and 216 within 10 miles; [full list](https://npiprofile.com/npi/1790931517/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 7, 2025
- **Other identifiers:** Other 8445 (MT)
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Source: [NPI Profile](https://npiprofile.com/npi/1790931517) · Data from the CMS NPPES public registry.