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KEELY HACKETT
NPI 1972216349
Student in an Organized Health Care Education/Training Program in Missoula, MT

Active since January 02, 2023PECOS Enrolled
401 RAILROAD ST W, MISSOULA, MT 59802(406) 258-4789(406) 258-4732 Get Directions Write a Review

NPPES record last updated: April 17, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Keely Hackett NPPES

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

KEELY HACKETT (NPI 1972216349) is an individual student in an organized health care education/training program in Missoula, Montana and active in the NPI registry since January 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1972216349
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameKEELY HACKETT
Location Address401 RAILROAD ST WMissoula, MT 59802-4178
Mailing Address401 Railroad St WMissoula, MT 59802-4178 · (406) 258-4789 · Fax (406) 258-4732
Phone(406) 258-4789
Fax(406) 258-4732
Sole ProprietorNo
Enumeration DateJanuary 2, 2023
Last NPPES UpdateApril 17, 2025
NPPES CertifiedApril 17, 2025
✔ NPI 1972216349 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
401 RAILROAD ST W, Missoula, MT 59802
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Keely Hackett is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MARK CHRISTOPHER WAYNE LCSW
Social Worker (Clinical)
401 RAILROAD ST W
MISSOULA, MT 59802
Missoula County (406) 830-5584
MS. KAITLYN NINA BOSSHARDT LMSW
Social Worker (Clinical)
401 RAILROAD ST W
MISSOULA, MT 59802
Missoula County (406) 258-4789
ELLEN JEAN BLUETT PHD
Psychologist (Clinical)
401 RAILROAD ST W
MISSOULA, MT 59802
Missoula County (406) 258-4789
NED F VASQUEZ MD
Family Medicine
401 RAILROAD ST W
MISSOULA, MT 59802
Missoula County (406) 258-4789
RYAN HINSHAW RN
Registered Nurse
401 RAILROAD ST W
MISSOULA, MT 59802
Missoula County (406) 258-4789
ANN MAUREEN O'CONNOR PA C
Physician Assistant (Medical)
401 RAILROAD ST W
MISSOULA, MT 59802
Missoula County (406) 258-4789
ARIEL FILLMORE MD
Family Medicine
401 RAILROAD ST W
MISSOULA, MT 59802
Missoula County (406) 258-4789
JESTINE TERYSSA MACDONALD MD
Family Medicine
401 RAILROAD ST W
MISSOULA, MT 59802
Missoula County (406) 258-4789

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 Keely Hackett's NPI number?

The NPI number for Keely Hackett is 1972216349. It was assigned to this individual provider in the NPPES registry on January 2, 2023.

Where is Keely Hackett located?

Keely Hackett practices at 401 Railroad St W, Missoula, MT 59802. The listed phone number is (406) 258-4789.

What is Keely Hackett's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Keely Hackett enrolled in Medicare?

Yes. Keely Hackett is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Keely Hackett was last updated on April 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.