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TANYA MCCULLOUGH ANP-C
NPI 1912287152
Nurse Practitioner - Adult Health in Havre, MT

Active since August 19, 2011PECOS EnrolledAccepts Medicare Assignment
80.46/100
CMS Quality Rating
20 13 ST WEST, HAVRE, MT 59501(406) 265-7831 Get Directions Write a Review

NPPES record last updated: April 8, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 8, 2024, Jun 8, 2017 (2 updates tracked since 2017).

About Tanya Mccullough Anp-c NPPES

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

TANYA MCCULLOUGH ANP-C (NPI 1912287152) is an individual adult health provider in Havre, Montana, licensed in Montana (45143) and active in the NPI registry since August 2011. She is enrolled in Medicare PECOS, is affiliated with Benefis Hospitals Inc, and is a graduate of Other (2011).

NPPES Registry Identity

NPI1912287152
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameTANYA MCCULLOUGHCredential: ANP-C
Location Address20 13 ST WESTHavre, MT 59501
Mailing AddressPo Box 6369Helena, MT 59604-6369 · (406) 447-2823 · Fax (406) 447-2825
Phone(406) 265-7831
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateAugust 19, 2011
Last NPPES UpdateApril 8, 20242 updates tracked since enumeration
NPPES CertifiedApril 8, 2024
✔ NPI 1912287152 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License✔ Licensed in MT · 45143
Also ListedRegistered NurseTaxonomy 163W00000X · License 45143 (MT)
20 13 ST WEST, Havre, MT 59501
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Mountain Health CO-OP, Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Tanya Mccullough Anp-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9436323466
PECOS Enrollment IDI20111130000861
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

4

Medicare enrollment records show Tanya Mccullough reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Northern Montana Hospital
Same address
Clinic/Center
20 13TH ST W
Havre, MT 59501
  • Reassigned Medicare billing, Montana enrollment
  • 81 clinicians in this Medicare group
NPI 1023169190 (406) 265-7831
Benefis Hospitals, Inc.
103 mi
General Acute Care Hospital
1101 26TH ST S
Great Falls, MT 59405
  • Reassigned Medicare billing, Montana enrollment
  • 637 clinicians in this Medicare group
NPI 1881650737 (406) 455-5000
St Peter's Medical Group North
172 mi
Family Medicine
3330 PTARMIGAN LN
Helena, MT 59602
  • Reassigned Medicare billing, Montana enrollment
  • Medicare enrollment name: St Peters Health
  • 304 clinicians in this Medicare group
NPI 1477844744 (406) 495-6600
Intermountain Planned Parenthood Inc
198 mi
Family Planning, Non-Surgical
1844 BROADWATER AVE SUITE 4, (PPMT BILLINGS WEST)
Billings, MT 59102
  • Reassigned Medicare billing, Montana enrollment
  • 20 clinicians in this Medicare group
NPI 1134297179 (406) 656-9980

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
63 services27 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
57 services57 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
30 services30 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
18 services12 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
12 services11 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Benefis Hospitals Inc

Acute Care Hospitals · Great Falls, MT
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number270012
Location1101 26th St SGreat Falls, MT 59405 · Cascade County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 59501 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$87.97 typical visit price
range $56.81 – $172.26
Typical copayment $21.99 (range $14.20 – $43.06)
Most-billed visit code 99203
Established Patient
$100.16 typical visit price
range $18.24 – $140.32
Typical copayment $25.04 (range $4.56 – $35.08)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

80.46/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality93.1
Promoting Interoperability75
Improvement Activities40
Cost62.61

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 Tanya Mccullough's NPI number?

The NPI number for Tanya Mccullough is 1912287152. It was assigned to this individual provider in the NPPES registry on August 19, 2011.

Where is Tanya Mccullough located?

Tanya Mccullough practices at 20 13 St West, Havre, MT 59501. The listed phone number is (406) 265-7831.

What is Tanya Mccullough's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Tanya Mccullough enrolled in Medicare?

Yes. Tanya Mccullough is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Tanya Mccullough's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tanya Mccullough reassigns Medicare benefits to 4 organizations: Northern Montana Hospital (Havre, MT), Benefis Hospitals, Inc. (Great Falls, MT), St Peter's Medical Group North (Helena, MT) and Intermountain Planned Parenthood Inc (Billings, MT). Each 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 Tanya Mccullough's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Tanya Mccullough accept?

Health plans from Blue Cross and Blue Shield of Montana, Mountain Health CO-OP and Providence Health Plan list Tanya Mccullough 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.

Is Tanya Mccullough affiliated with any hospitals?

According to CMS data, Tanya Mccullough is affiliated with Benefis Hospitals Inc.

When was this NPI record last updated?

The NPPES record for Tanya Mccullough was last updated on April 8, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.