| Kellie A Depuydt, NP | |
|
1035 1st Ave, Laurel, MT 59044-2119 | |
| (406) 628-6311 | |
| Not Available |
| Full Name | Kellie A Depuydt |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 8 Years |
| Location | 1035 1st Ave, Laurel, Montana |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801314075 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | 127356 (Montana) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| St Vincent Healthcare | Billings, MT | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Scl Health Medical Group - Billings Llc | 9638491574 | 254 |
| Entity Name | Scl Health Medical Group - Billings Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1508289703 PECOS PAC ID: 9638491574 Enrollment ID: O20141204001495 |
| Entity Name | Intermountain Medical Group Denver, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669192134 PECOS PAC ID: 0840513552 Enrollment ID: O20221107002801 |
| Mailing Address | Practice Location Address |
|---|---|
| Kellie A Depuydt, NP 1035 1st Ave, Laurel, MT 59044-2119 Ph: (406) 628-6311 | Kellie A Depuydt, NP 1035 1st Ave, Laurel, MT 59044-2119 Ph: (406) 628-6311 |
Mrs. Natalie Louise Boucher, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 130 E 13th St, Laurel, MT 59044 Phone: 406-855-0797 | |
Kierston Christian Popp, DNP, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1035 1st Ave, Laurel, MT 59044 Phone: 406-628-6311 Fax: 406-628-3024 |