Providence Health & Services Mt
NPI 1174074827ActiveOrganization· Nurse Practitioner· Missoula, MT
Nurse Practitioner in Missoula, Montana, registered in NPPES in October 2016. The authorized official on file is Donald W. Anderson, Assistant Secretary Enrollments.
Overview
| NPI | 1174074827 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Oct 18, 2016 |
| Last updated in NPPES | May 5, 2025 |
| Certified by provider | May 5, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner Primary | 363L00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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