Four Corners Health Care Inc
NPI 1245312644ActiveOrganization· Nurse Practitioner, Pediatrics· Bozeman, MT
Nurse Practitioner, Pediatrics in Bozeman, Montana, registered in NPPES in October 2006. The authorized official on file is Marie Sills Mitchell, CNP PNP FNP, President Health Care Provider.
Overview
| NPI | 1245312644 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Oct 19, 2006 |
| Last updated in NPPES | Sep 11, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Pediatrics Primary | 363LP0200X | RN20521 | MT |
| Nurse Practitioner, Family | 363LF0000X | RN20521 | MT |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 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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