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THERESA OHL FNP-BC
NPI 1972973477
Nurse Practitioner - Family in Malta, MT

Active since September 28, 2015PECOS EnrolledAccepts Medicare Assignment
311 S 8TH AVE E, 311 S. 8TH AVE E, MALTA, MT 59538(406) 654-1800(406) 654-2876 Get Directions Write a Review

NPPES record last updated: September 28, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Theresa Ohl Fnp-bc NPPES

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

THERESA OHL FNP-BC (NPI 1972973477) is an individual family provider in Malta, Montana, licensed in Montana (NUR-RN-LIC-28429) and active in the NPI registry since September 2015. She is enrolled in Medicare PECOS, is affiliated with Billings Clinic, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1972973477
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameTHERESA OHLCredential: FNP-BC
Location Address311 S 8TH AVE E, 311 S. 8TH AVE EMalta, MT 59538-8978
Mailing Address311 S 8th Ave E, Po Box 640Malta, MT 59538-8978 · (406) 654-1800 · Fax (406) 654-2876
Phone(406) 654-1800
Fax(406) 654-2876
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateSeptember 28, 2015
✔ NPI 1972973477 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in MT · NUR-RN-LIC-28429
311 S 8TH AVE E, Malta, MT 59538
Open in Google Maps ↗

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, PacificSource Health Plans and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Theresa Ohl Fnp-bc 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 ID7214239938
PECOS Enrollment IDI20160112001117
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.

Areas of Expertise CMS Part B claims 3

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.

Emergency department visit with straightforward medical decision making 99282
An emergency department visit for a mild to moderate issue is when you seek immediate medical attention for a non-life-threatening condition. This could include minor injuries, moderate pain, or illnesses like the flu. During the visit, healthcare professionals assess your condition, provide treatment, and may recommend follow-up care.
34 services31 patients
Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
23 services22 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
11 services11 patients

Hospital Affiliations CMS Care Compare 2

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

Billings Clinic

Acute Care Hospitals · Billings, MT
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number270004
Location2800 10th Ave NBillings, MT 59101 · Yellowstone County
Emergency services Birthing friendly

Beartooth Billings Clinic

Critical Access Hospitals · Red Lodge, MT
OwnershipVoluntary non-profit - Private
CMS Certification Number271326
Location2525 N BroadwayRed Lodge, MT 59068 · Carbon County

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 59538 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.

Referred Medical Equipment & Supplies CMS DME claims 8

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
4 suppliers27 claims54 services$6.04 avg. paid by Medicare
Tracheostomy, inner cannula A4623
DME-Orthotic Devices · category DF000N
1 supplier12 claims360 services$5.82 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier29 claims29 services$31.67 avg. paid by Medicare
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) E0466
DME-Other DME · category DE005N
1 supplier45 claims45 services$801.33 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers39 claims39 services$114.91 avg. paid by Medicare
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg J7613
DME-Drugs Administered Through DME · category DG006N
3 suppliers41 claims6,878 services$0.03 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 4

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

KARA MEGHAN KNODEL FNP-C
Nurse Practitioner (Family)
311 S 8TH AVE E
MALTA, MT 59538
Phillips County (406) 654-1100
MORGAN HANNAH STREETER LCSW CANDIDATE
Social Worker (Clinical)
311 S 8TH AVE E
MALTA, MT 59538
Phillips County (406) 654-1100
JESSE BROCKIE FNP-C
Nurse Practitioner (Family)
311 S 8TH AVE E
MALTA, MT 59538
Phillips County (406) 654-1800
STERLING JAMES BECK FNP
Nurse Practitioner
311 S 8TH AVE E
MALTA, MT 59538
Phillips County (406) 654-1800

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 Theresa Ohl's NPI number?

The NPI number for Theresa Ohl is 1972973477. It was assigned to this individual provider in the NPPES registry on September 28, 2015.

Where is Theresa Ohl located?

Theresa Ohl practices at 311 S 8th Ave E 311 S. 8th Ave E, Malta, MT 59538. The listed phone number is (406) 654-1800.

What is Theresa Ohl's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Theresa Ohl enrolled in Medicare?

Yes. Theresa Ohl 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.

What insurance does Theresa Ohl accept?

Health plans from Blue Cross and Blue Shield of Montana, Mountain Health CO-OP, PacificSource Health Plans and Providence Health Plan list Theresa Ohl 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 Theresa Ohl affiliated with any hospitals?

According to CMS data, Theresa Ohl is affiliated with Billings Clinic and Beartooth Billings Clinic.

When was this NPI record last updated?

The NPPES record for Theresa Ohl was last updated on September 28, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.