Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Krystal Rennee Kackley, AGAC-NP

Individual provider Acute Care Nurse Practitioner · NPI 1902394455

Krystal Rennee Kackley, AGAC-NP is a Nurse Practitioner in Great Falls, Montana. Qualified in 2007, 19 years ago. Practices with Benefis Hospitals Inc, a 398-clinician group and accepts Medicare assignment. Licensed in Montana.

Years since qualifying
19
Licensed in
MT
In the registry since
2018

Practice location Address checks out

1101 26th St S
Great Falls, MT 59405-5161
Phone: (406) 731-8888
Fax: (406) 731-8876
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Acute Care Nurse Practitioner (primary) Taxonomy 363LA2100X · Licence 129430 (MT)

Record details

NPI number1902394455
Entity typeIndividual (Type 1)
GenderFemale
Credentials AGAC-NP
Sole proprietorNo
NPI enumeratedApril 30, 2018
Last updated in NPPESApril 8, 2024
Certification dateMay 6, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2007 (19 years in practice)
Group practice Benefis Hospitals Inc — 398 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Great Falls