1. Home
  2. Directory
  3. Montana
  4. Missoula
  5. Internal Medicine
  6. NPI Profile
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 1871825018
Internal Medicine - Nephrology in Missoula, MT

Active since February 12, 2010
3055 N RESERVE ST STE Q, MISSOULA, MT 59808(406) 327-7000(406) 541-7150 Get Directions Write a Review

NPPES record last updated: September 17, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Sep 17, 2026, May 7, 2025, Aug 21, 2018 (3 updates tracked since 2018).

About Providence Health & Services Mt NPPES

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

PROVIDENCE HEALTH & SERVICES MT (NPI 1871825018), doing business as 1871825018, is a healthcare organization registered as a nephrology in Missoula, Montana and active in the NPI registry since February 2010. The organization lists Donald Wayne Anderson, Assistant Secretary Enrollments, as its authorized official.

NPPES Registry Identity

NPI1871825018
Entity TypeOrganization
Primary Taxonomy207RN0300X
Legal Business NamePROVIDENCE HEALTH & SERVICES MT
Location Address3055 N RESERVE ST STE QMissoula, MT 59808-1394
Mailing AddressPo Box 31001 - 4114Pasadena, CA 91110-4114
Phone(406) 327-7000
Fax(406) 541-7150
Organization SubpartYesParent: Providence Health & Services
Authorized OfficialDonald Wayne AndersonAssistant Secretary Enrollments · (425) 358-9786
Enumeration DateFebruary 12, 2010
Last NPPES UpdateSeptember 17, 20263 updates tracked since enumeration
NPPES CertifiedSeptember 17, 2026
✔ NPI 1871825018 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
3055 N RESERVE ST STE Q, Missoula, MT 59808
Open in Google Maps ↗

Other Names 2

Doing Business As1871825018
Doing Business AsProvidence Medical Group Mt

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, 6 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
Jamie Harding, APRN
Nurse Practitioner
NPI 1528132651
3075 N RESERVE ST SUITE 2
Missoula, MT 59808
(406) 327-1850
✔ PECOS✔ Accepts MedicareSame address
Mallory Koula, MD
Family Practice
NPI 1467987727
3075 N RESERVE ST STE Q
Missoula, MT 59808
(406) 327-1850
✔ PECOS✔ Accepts MedicareSame address
Sadie Russell
Nurse Practitioner
NPI 1578914396
3075 N RESERVE ST STE Q
Missoula, MT 59808
(406) 327-1850
✔ PECOS✔ Accepts MedicareSame address
Jason Wissinger, MD
Family Practice
NPI 1639297674
3075 N RESERVE ST STE Q
Missoula, MT 59808
(406) 327-1850
✔ PECOS✔ Accepts MedicareSame address
Alaina Cole
Nurse Practitioner
NPI 1649032731
3075 N RESERVE ST STE Q
Missoula, MT 59808
(406) 327-1850
✔ PECOS✔ Accepts MedicareSame address
Maile Macaluso
Nurse Practitioner
NPI 1366914335
3075 N RESERVE ST STE Q
Missoula, MT 59808
(406) 327-1750
✔ PECOS✔ Accepts MedicareSame address
Meredith Lease, M.D.
Pediatric Medicine
NPI 1487727889
3075 N RESERVE ST STE Q
Missoula, MT 59808
(406) 327-1850
✔ PECOS0.1 mi
Diana Jenkins, APRN
Nurse Practitioner
NPI 1285441998
2700 RADIO WAY
Missoula, MT 59808
(406) 541-3046
✔ PECOS✔ Accepts Medicare0.2 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 Medicare0.5 mi
John Draper, M.D.
Critical Care (Intensivists)
NPI 1376767897
2825 STOCKYARD RD STE I-200
Missoula, MT 59808
(406) 728-8420
✔ PECOS✔ Accepts Medicare0.6 mi
Christopher Barton, MD
Anesthesiology
NPI 1770016107
2825 STOCKYARD RD STE I-200
Missoula, MT 59808
(406) 728-8420
✔ PECOS✔ Accepts Medicare0.6 mi
Joel Musee, M.D., PH.D.
Anesthesiology
NPI 1861754285
2825 STOCKYARD RD BLDG I-200
Missoula, MT 59808
(406) 728-8420
✔ PECOS✔ Accepts Medicare0.6 mi
William Surber, MD
Anesthesiology
NPI 1386730893
2825 STOCKYARD RD BLDG I-200
Missoula, MT 59808
(406) 728-8420
✔ PECOS✔ Accepts Medicare0.6 mi
Kathryn Eriksson, FNP-C
Nurse Practitioner
NPI 1437709060
2829 GREAT NORTHERN LOOP STE 300
Missoula, MT 59808
(406) 541-7000
✔ PECOS✔ Accepts Medicare0.7 mi
Kristin Spoon, MD
Sleep Medicine
NPI 1275633174
2829 GREAT NORTHERN LOOP STE 300
Missoula, MT 59808
(406) 541-7000
✔ PECOS✔ Accepts Medicare0.7 mi
Stephen Hardy, M.D.
Plastic and Reconstructive Surgery
NPI 1790735058
2802 GREAT NORTHERN LOOP
Missoula, MT 59808
(406) 728-3811
✔ PECOS0.8 mi
Margaret Girardi, LCSW
Clinical Social Worker
NPI 1356871503
725 W ALDER ST STE 14
Missoula, MT 59802
(406) 616-3969
✔ PECOS✔ Accepts Medicare2.1 mi
Aakriti Bertsche
Neurology
NPI 1013438902
601 W SPRUCE ST STE J
Missoula, MT 59802
(406) 327-3350
✔ PECOS✔ Accepts Medicare2.2 mi
Kevin Chin, D.O.
Family Practice
NPI 1003047960
601 W SPRUCE ST STE A
Missoula, MT 59802
(406) 728-3111
✔ PECOS✔ Accepts Medicare2.2 mi
Christopher Jons, MD
Hospice/Palliative Care
NPI 1407055130
601 W SPRUCE ST STE K
Missoula, MT 59802
(406) 543-7271
✔ PECOS✔ Accepts Medicare2.2 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 1871825018. It was assigned to this organization in the NPPES registry on February 12, 2010. The provider is doing business as 1871825018 and Providence Medical Group MT.

Where is Providence Health & Services Mt located?

Providence Health & Services Mt is located at 3055 N Reserve St Ste Q, Missoula, MT 59808. The listed phone number is (406) 327-7000.

What is Providence Health & Services Mt's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

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, 6 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 52 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.