MS. ANDREA DUGAN SKROCKI (NPI# 1881009892) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881009892 |
| Entity Type | Individual |
| Full Name | MS. ANDREA DUGAN SKROCKI |
| Credential | APRN |
| Practice Address |
2831 Fort Missoula Rd Suite 206 Missoula MT 59804-7419 |
| Mailing Address |
2831 Ft. Missoula Road - Cpg Psychiatry Suite 206 Missoula MT 59804 |
| Practice Telephone | 4063274351 |
| Mailing Telephone | 4063274351 |
| Mailing Fax Number | 4063273873 |
| Enumeration Date | 2014-06-27 |
| Last Update Date | 2020-10-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
NUR-APRN-LIC-100 | MT | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
36280 | MT | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
2831 FORT MISSOULA RD SUITE 206 |
| City | MISSOULA |
| State | MT |
| Zip Code | 59804-7419 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366449530 | Steven David Glow | Nurse Practitioner | 2831 Fort Missoula Rd, Missoula, MT 59804-7419 | 2005-07-03 |
| 1003363581 | Your Migraine Care Missoula LLC | Psychiatry & Neurology | 2831 Fort Missoula Rd, Ste 104, Missoula, MT 59804-7419 | 2016-09-01 |
| 1912359639 | Wahlberg Psychology Office, PC | Community/Behavioral Health | 2831 Fort Missoula Rd, Suite 201, Missoula, MT 59804-7419 | 2016-07-06 |
| 1548507171 | Meng Dentistry, Pllc | Dentist | 2831 Fort Missoula Rd, Suite 204, Missoula, MT 59804-7419 | 2013-01-16 |
| 1982968699 | Nicole A Swartz | Nurse Practitioner | 2831 Fort Missoula Rd, Suite 232, Missoula, MT 59804-7419 | 2012-06-27 |
| 1205192440 | Fugleberg Enterprises Inc | Audiologist | 2831 Fort Missoula Rd, Suite 300, Missoula, MT 59804-7419 | 2012-04-02 |
| 1194094672 | Meng Dentistry | Clinic/Center | 2831 Fort Missoula Rd, Suite 204, Missoula, MT 59804-7419 | 2011-12-29 |
| 1104155423 | Joseph Charles Meng | Dentist | 2831 Fort Missoula Rd, Physicians Center #2, Missoula, MT 59804-7419 | 2009-12-15 |
| 1942538897 | Duncan L Hubbard, Md, PC | Clinic/Center | 2831 Fort Missoula Rd, 304, Missoula, MT 59804-7419 | 2009-12-03 |
| 1558413252 | Joseph Michael Gassenberg | Family Medicine | 2831 Fort Missoula Rd, Suite 146, Missoula, MT 59804-7419 | 2007-01-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063019297 | Momentum Speech Therapy, PC | Speech-Language Pathologist | 9885 O'brien Creek Road, Missoula, MT 59804 | 2020-10-01 |
| 1033633037 | Marissa Clark | Genetic Counselor, MS | 2827 Fort Missoula Rd., Suite 317, Missoula, MT 59804 | 2017-08-01 |
| 1104295245 | Scott Richter | Specialist/Technologist | 2892 Ringo Dr, Missoula, MT 59804 | 2015-09-18 |
| 1467860353 | Zachary Ueland | Pharmacist | 4000 Highway 93 South, Missoula, MT 59804 | 2014-07-24 |
| 1316378185 | Tracy Laurel Brothers | Counselor | 1305 Wyoming Street, Missoula, MT 59804 | 2013-12-04 |
| 1447683651 | Granite Pharmacy Missoula, LLC | Durable Medical Equipment & Medical Supplies | 2230 27th Ave. West, Suite 2, Missoula, MT 59804 | 2013-08-12 |
| 1871843953 | Autum Emerson Howell | Nurse Practitioner | 2831 Ft. Missoula Rd. Bldg 2, 102, Missoula, MT 59804 | 2012-09-14 |
| 1821353939 | Carlyn Doyle | Nurse Practitioner | 2835 Fort Missoula Rd Ste 203, Missoula, MT 59804 | 2012-07-05 |
| 1396011961 | Patricia Jean Evans | Internal Medicine | 702 S.w. Higgins, First Choice Medical Clinic, Missoula, MT 59804 | 2012-03-28 |
| 1205126794 | Pacific Medical, Inc. | Prosthetic/Orthotic Supplier | 2732 South Ave West, Suite 202, Missoula, MT 59804 | 2011-04-18 |
| Find all providers in zip 59804 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194364091 | Tommie Lynn Perusich | Nurse Practitioner | 1120 Cedar St., Missoula, MT 59802 | 2019-12-26 |
| 1093178626 | Kindnets Pllc | Nurse Practitioner | 622 W Bickford St, Missoula, MT 59801-3525 | 2016-03-31 |
| 1710598073 | Amanda Rae Holloron | Nurse Practitioner | 900 N Orange St Ste 102, Missoula, MT 59802-2951 | 2020-08-11 |
| 1033735063 | Evan Robert Thompson | Nurse Practitioner | 2835 Fort Missoula Rd Ste 203, Missoula, MT 59804-7424 | 2020-06-25 |
| 1669005526 | Heather Marie Judkins | Nurse Practitioner | 1315 Wyoming St, Missoula, MT 59801-1725 | 2020-02-19 |
| 1245885086 | Michael Charles Duchschere | Nurse Practitioner | 401 Railroad St W, Missoula, MT 59802-4109 | 2019-08-08 |
| 1366922551 | Sheila Ann Hurd | Nurse Practitioner | 401 Railroad St W, Missoula, MT 59802-4109 | 2018-08-16 |
| 1619419405 | Erin Flavin | Nurse Practitioner | 1511 S Russell St, Missoula, MT 59801 | 2016-11-09 |
| 1952853624 | Kristin Billingsley Toney | Nurse Practitioner | 900 N Orange St, Suite 102, Missoula, MT 59802-2998 | 2016-10-28 |
| 1821394974 | Sydney Diann Seyfert | Nurse Practitioner | 821 S Orange St, Missoula, MT 59801-3833 | 2011-02-08 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.