ELLEN JEAN BLUETT (PHD) – Clinical Psychologist, NPI 1013485853

ELLEN JEAN BLUETT (PHD) is a healthcare provider. based in Missoula, Montana. specializing in CLINICAL PSYCHOLOGIST. They hold the professional credentials PHD. They hold a License No. 2571 (MT). The NPI Number for ELLEN JEAN BLUETT (PHD) is 1013485853

Main info

Female
12 Years Of Experience
Accepts Medicare Assignment
Name
ELLEN JEAN BLUETT (PHD)
NPI
1013485853
Phone
(406) 258-4789
Address
401 RAILROAD ST W
Enumeration Date
9 November 2018
Last Update Date
9 November 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4062584789
Graduation Year
2014 (12 years ago)
PAC ID
6800137787
Group Practice PAC ID
6103843479
Professional Enrollment ID
I20190402000840
Address ID
MT598024178MI401XXWXXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:7State licenses:1Digital endpointsOther names

98 CLINICAL PSYCHOLOGIST in MT

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Provider Addresses for ELLEN JEAN BLUETT (PHD)

  • Railroad Street West, Westside, Missoula, Missoula County, Montana, 59807, United States

    MISSOULA, MT 598024109

    Phone: (406) 258-4789

    Fax: (406) 258-4732

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2019-04-02

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20190402000840IClinical PsychologistMTTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 59802)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6103843479View full group profile
NameSpecialtyState
-MT
-WI
Nurse PractitionerCA
Family Practice, Obstetrics/GynecologyCO
Family PracticeWA
-MT
Clinical Social WorkerMT
Clinical Social WorkerMT
Physician AssistantMT
Clinical Social WorkerMT

Reviews

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Frequently asked questions

How do I look up ELLEN JEAN BLUETT (PHD) by NPI?
Use NPI 1013485853 when you need to reference ELLEN JEAN BLUETT (PHD) in forms, claims, or directories.
Is ELLEN JEAN BLUETT (PHD)'s NPI currently valid?
The extract we use shows ELLEN JEAN BLUETT (PHD) as active.
Does ELLEN JEAN BLUETT (PHD) list a primary specialty?
If you are matching referrals, note Clinical Psychologist for ELLEN JEAN BLUETT (PHD). Clinical services aligned with this taxonomy classification.
What location shows for ELLEN JEAN BLUETT (PHD)?
We surface Missoula, Montana for ELLEN JEAN BLUETT (PHD) based on available NPPES addresses.
How can I contact ELLEN JEAN BLUETT (PHD)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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