| Rocky Boy Health Center | |
|
6850 Upper Box Elder Rd Box Elder MT 59521-9073 | |
| (406) 395-1617 | |
| (406) 395-4408 |
| Full Name | Rocky Boy Health Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 6850 Upper Box Elder Rd, Box Elder, Montana |
| Authorized Official Name and Position | Marty Rae Stiffarm-rosette (CREDENTIALING COORDINATOR) |
| Authorized Official Contact | 4063951606 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Rocky Boy Health Center 6850 Upper Box Elder Rd Box Elder MT 59521-9073 Ph: (406) 395-1606 | Rocky Boy Health Center 6850 Upper Box Elder Rd Box Elder MT 59521-9073 Ph: (406) 395-1617 |
| NPI Number | 1598802332 |
|---|---|
| Provider Enumeration Date | 01/31/2007 |
| Last Update Date | 09/16/2025 |
| Medicare PECOS PAC ID | 4082508122 |
|---|---|
| Medicare Enrollment ID | O20050125001129 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598802332 | NPI | - | NPPES |
| 2706402 | Other | MT | NCPDP |
| Provider Name | Janice L Nystrom |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619190519 PECOS PAC ID: 7012967896 Enrollment ID: I20050128000810 |
| Provider Name | Andrew T Mccoy |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1639321185 PECOS PAC ID: 6103981469 Enrollment ID: I20091005000293 |
| Provider Name | David Anthony Stock |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1558385948 PECOS PAC ID: 5698761864 Enrollment ID: I20170927004425 |
| Provider Name | Svetlana Yakov |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1992061618 PECOS PAC ID: 3678723731 Enrollment ID: I20201209001066 |
| Provider Name | Michael Melland |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1467588988 PECOS PAC ID: 8527237510 Enrollment ID: I20220125002836 |
| Provider Name | Wendy Courtnage Tilleman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487829180 PECOS PAC ID: 4183016025 Enrollment ID: I20220126001535 |
| Provider Name | Kayla Marie Stoner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033888623 PECOS PAC ID: 6901292655 Enrollment ID: I20220405001781 |
| Provider Name | Tara Marie Wilkins |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1992333165 PECOS PAC ID: 2062877418 Enrollment ID: I20230508002374 |
| Provider Name | Aaron Duncan Sparks |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1912244427 PECOS PAC ID: 9638317654 Enrollment ID: I20230515002175 |
| Provider Name | Elisabeth Hargrove |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1457408866 PECOS PAC ID: 0840583647 Enrollment ID: I20230606001261 |
| Provider Name | Matthew Soden |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1013258631 PECOS PAC ID: 0941595607 Enrollment ID: I20231114002301 |
| Provider Name | Brenda Sue Davis |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1699484162 PECOS PAC ID: 0345615373 Enrollment ID: I20240513001744 |
| Provider Name | Elizabeth Topsky |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720262231 PECOS PAC ID: 9537216577 Enrollment ID: I20250417002560 |