Individual ProviderHillary WaldeisenNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address931 Highland Blvd Ste 3130, Bozeman, MT 59715-6914(406) 414-5000PECOS EnrollmentBased on the most recent information from CMS, provider Hillary Waldeisen is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1770235756Provider TypeIndividualFull NameWaldeisen, HillaryGenderFemaleSole ProprietorNoEnumeration Date1/21/2022Last Updated4/9/2025Contact InformationPractice LocationPractice Address931 Highland Blvd Ste 3130, Bozeman, MT 59715-6914Phone(406) 414-5000FaxUnlisted FaxMailing LocationMailing Address915 Highland Blvd, Bozeman, MT 59715-6902Phone(406) 414-5000FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode363LF0000XPrimaryDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicenseNUR-APRN-LIC-219124Montana