Jordan Icenoggle, MD
NPI 1023696218 · Obstetrics & Gynecology Physician · Hamilton, MT
Enrolled with Medicare as Practitioner - Obstetrics/Gynecology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Jordan Icenoggle, MD is a Obstetrics & Gynecology Physician provider in Hamilton, MT (NPI 1023696218).
Provider details
- NPI number
- 1023696218
- Entity type
- Individual
- Primary specialty
- Obstetrics & Gynecology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- License
- MED-PHYS-LIC-148113 (MT)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (1)
- 3975 US Highway 93 NStevensville, MT 59870-6474Phone: (406) 777-6002Fax: (406) 206-2965
Registry dates
- Enumerated
- 2021-03-30
- Last updated
- 2025-10-03
- Certified
- 2025-10-03
Frequently asked questions
- What is Jordan Icenoggle's NPI number?
- Jordan Icenoggle's National Provider Identifier (NPI) is 1023696218, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jordan Icenoggle's specialty?
- Jordan Icenoggle is listed in the NPPES registry with a primary specialty of Obstetrics & Gynecology Physician (Allopathic & Osteopathic Physicians).
- Where is Jordan Icenoggle located?
- Jordan Icenoggle's practice location on file with NPPES is 1200 Westwood Dr Ste G, Hamilton, MT 59840-2345.
- What is Jordan Icenoggle's phone number?
- The practice phone number listed in the NPPES registry for Jordan Icenoggle is (406) 375-4777.
- Does Jordan Icenoggle accept Medicare?
- Jordan Icenoggle is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Jordan Icenoggle's NPI active?
- Yes — Jordan Icenoggle's NPI (1023696218) is active in the NPPES registry as of the last update on 2025-10-03.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.