Nicolett M Weston, APRN
Individual provider Active NPI Nurse Practitioner · Corvallis, MT
NPI 1003076639 · NPPES record last updated Nov 5, 2015
Key facts
- NPI
- 1003076639
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- 29947 (MT)
- Practice address
- 1037 Main St
Corvallis, MT 59828-9374 - Phone
- (406) 961-4661
- Fax
- (406) 961-4260
- NPI assigned
- Jun 17, 2008
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 3
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Sapphire Community Health Inc
Bitterroot Family Medicine, P.C.
Practice addresses (Care Compare)
316 N 3Rd St
Hamilton, MT 59840-2480
Phone (406) 541-0032
330 N 10TH St
Suite a
Hamilton, MT 59840-2318
Phone (406) 363-3627
Hospital & facility affiliations
- Bitterroot Health - Daly Hospital
- Community Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MT
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20080721000773 | MT | Practitioner - Nurse Practitioner | 6709959976 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 29947 | MT | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Missoula Bone & Joint, LLC | Current |
Accepting new patients |
Locations
330 N 10th St
Ste A
Hamilton, MT 59840
Phone (406) 360-6303
Interoperability endpoints
- https://mbnj.mmi.prod.fhir.ema-api.com/fhir/r4/
- https://fhir-myrecord.cerner.com/r4/xGC8us00w6i72tkLoWiE0pdWD5WWsJe5/
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 29947 | MT | Yes |
Addresses
Primary practice location
1037 Main St
Corvallis, MT 59828-9374
Mailing address
1224 W Main St
Hamilton, MT 59840-2338
Phone (406) 375-4823
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003076639 | Medicaid | MT | |
| 1003076639 | Medicaid | ID | |
| 1003076639 | Medicaid | WA |
Other names
- Nicolett M Twardoski
Other providers in Corvallis, MT
- Taylor Brianne Plymale
- Ravalli Family Eye Care, PC
- Shannon Scott
- The Garden Adult Center L.L.C.
- Tree of Life Counseling Coaching Consulting LLC
- Matthew David Yaskus
All providers in Corvallis, MT · Nurse Practitioner in Montana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 5, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.