| Janice Lea Nystrom, RN, MSN, FNP | |
| 
					6850 Upper Box Elder Rd, Box Elder, MT 59521-0000  | |
| (406) 395-4486 | |
| (406) 395-4138 | 
| Full Name | Janice Lea Nystrom | 
|---|---|
| Gender | Female | 
| Speciality | Nurse Practitioner | 
| Location | 6850 Upper Box Elder Rd, Box Elder, Montana | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1619190519 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | RN23489 (Montana) | Secondary | 
| 363L00000X | Nurse Practitioner | 40604803 (Montana) | Primary | 
| Entity Name | Rocky Boy Health Center | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1598802332 PECOS PAC ID: 4082508122 Enrollment ID: O20050125001129  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Janice Lea Nystrom, RN, MSN, FNP 6850 Upper Box Elder Rd, Box Elder, MT 59521-0000 Ph: (406) 395-4486  | Janice Lea Nystrom, RN, MSN, FNP 6850 Upper Box Elder Rd, Box Elder, MT 59521-0000 Ph: (406) 395-4486  | 
Kayla Marie Stoner, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6850 Box Elder Rd, Box Elder, MT 59521 Phone: 406-395-4486 Fax: 406-395-5850  | |
Tammy L Ralston, APRN-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6850 Upper Box Elder Rd, Box Elder, MT 59521 Phone: 406-395-4818 Fax: 406-395-4399  | |
Ms. Lisa Marie Scheresky O'neil, PHD, MSN, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6850 Upper Box Elder Road, Box Elder, MT 59521 Phone: 406-395-1600 Fax: 406-395-1804  |