Janice Lea Nystrom, RN, MSN, FNP is a medicare enrolled "Nurse Practitioner" in Box Elder, Montana. Her current practice location is
6850 Upper Box Elder Rd, Box Elder, Montana. You can reach out to her office (for appointments etc.) via phone at
(406) 395-4486.
Janice Lea Nystrom is licensed to practice in Montana (license number 40604803) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1619190519.
Provider's Profile
Full Name | Janice Lea Nystrom |
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Gender | Female |
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Speciality | Nurse Practitioner |
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Location | 6850 Upper Box Elder Rd, Box Elder, Montana |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1619190519
- Provider Enumeration Date: 04/10/2007
- Last Update Date: 01/30/2020
Medicare PECOS Information:
- PECOS PAC ID: 7012967896
- Enrollment ID: I20050128000810
Medical Identifiers
Medical identifiers for Janice Lea Nystrom such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1619190519 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363LF0000X | Nurse Practitioner - Family | RN23489 (Montana) | Secondary |
363L00000X | Nurse Practitioner | 40604803 (Montana) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Janice Lea Nystrom allows following entities to bill medicare on her behalf.
Entity Name | Rocky Boy Health Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1598802332 PECOS PAC ID: 4082508122 Enrollment ID: O20050125001129 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Janice Lea Nystrom is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
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 |
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