Look up the most recent NPI and PECOS records

Charlene Laura Ward

Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers

935 Highland Blvd Ste 2180, Bozeman, MT 59715

PECOS Enrollment

This provider is enrolled in PECOS as CHARLENE WARD.

Based on the most recent information from CMS, provider Charlene Laura Ward is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1851640767
Provider Type
Individual
Full Name
Ward, Charlene Laura
Credential
FNP-BC

Gender
Female
Sole Proprietor
No
Enumeration Date
9/6/2012
Last Updated
3/8/2019

Contact Information

Practice Location

935 Highland Blvd Ste 2180, Bozeman, MT 59715

(406) 414-5512

Unlisted Fax

Mailing Location

935 Highland Blvd, Ste 2180, Bozeman, MT 59715-6904

(406) 414-5512

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 363LF0000X Primary	Description Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers	License 100933 Montana
Code 364SC1501X	Description Clinical Nurse Specialist Physician Assistants & Advanced Practice Nursing Providers	License NUR-RN-LIC-47637 Montana

Charlene Laura Ward

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

Sisk, Carol Kittrell

Lange, Christine Merette

St Jonn, Myles

Give Me A Shot Llc

Toole, Brielle A

Mistretta, Katherine Diane

Phillips, Michelle Louise

Marx, Crystal Joy

Wing, Nicole Morin

Carlson, Leslie Ann