IndividualActive
Mackenzie Thomas, AGNP-C
NPI 1760319925 · General Practice Physician · Missoula, MT
Provider details
- NPI number
- 1760319925
- Entity type
- Individual
- Primary specialty
- General Practice PhysicianAllopathic & Osteopathic Physicians
- Credential
- AGNP-C
- Sex
- Female
- Sole proprietor
- No
- License
- NUR-APRN-LIC-289045 (MT)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Established profile(53/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
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
2230 N Reserve St Ste 110
Missoula, MT 59808-1364
Phone: (406) 926-5111
Fax: (406) 434-6323
Street-level locationGet directions
Mailing address
2036 S 13th St W
Missoula, MT 59801-4932
Registry dates
- Enumerated
- 2026-05-04
- Last updated
- 2026-05-04
- Certified
- 2026-05-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.